Masi Dental Group PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1856247 Issued in MA

Legal business name

MASI DENTAL GROUP PC

Practice address

171 Watertown St
Watertown, MA 02472-2571

Phone

(617) 467-5113

NPI assigned

Mar 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stanislav Kovtun, DMDNPI 1699112151

Title

Clinical Director

Phone

(781) 264-2067

Specialties & licenses 1

Addresses

Other names 1

• Alpha Plus Dental Center of Watertown Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanislav Kovtun, D.M.D

  • General Practice Dentistry
  • Brookline, MA
  • NPI 1699112151
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1992246458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHUMAN CIR",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592767",
            "telephone_number": "781-264-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722571",
            "telephone_number": "617-467-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASI DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "KOVTUN",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "781-264-2067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Plus Dental Center of Watertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Martin Markey, ED.D.
• Kendal Maroney
• Maria G Marquez, DMD
• Angela Noelle Martin
• Anna Martin, OTRL
• Mass General Brigham Urgent Care LLC
• Mass Optometric Associates, P. C.
• Rachel Ann Mastrangelo, MSED, BCBA, LABA
• Jaime Francisco Matorras
• Karekine Matossian, D.M.D.,M.S.

• Dental Clinic/Center in Watertown, MA
• Providers in Watertown, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.