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COMMUNITY FAMILY DENTAL
NPI 1205061207
Dentist - General Practice in Roslindale, MA

Active since May 19, 2009
648 AMERICAN LEGION HWY, ROSLINDALE, MA 02131(617) 699-9894 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Community Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY FAMILY DENTAL (NPI 1205061207) is a healthcare organization registered as a general practice in Roslindale, Massachusetts and active in the NPI registry since May 2009. The organization lists Andrey Mazo, Owner, as its authorized official.

NPPES Registry Identity

NPI1205061207
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMMUNITY FAMILY DENTAL
Location Address648 AMERICAN LEGION HWYRoslindale, MA 02131-3901
Mailing Address648 American Legion HwyRoslindale, MA 02131-3901 · (617) 699-9894
Phone(617) 699-9894
Organization SubpartNo
Authorized OfficialAndrey MazoOwner · (617) 285-6414
Enumeration DateMay 19, 2009
✔ NPI 1205061207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 18643
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
648 AMERICAN LEGION HWY, Roslindale, MA 02131
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Other Identifiers 1

Medicaid0277975MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Family Dental's NPI number?

The NPI number for Community Family Dental is 1205061207. It was assigned to this organization in the NPPES registry on May 19, 2009.

Where is Community Family Dental located?

Community Family Dental is located at 648 American Legion Hwy, Roslindale, MA 02131. The listed phone number is (617) 699-9894.

What is Community Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Community Family Dental was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.