DEDHAM MEDICAL ASSOC INC
NPI 1205836376
Dentist - Orthodontics and Dentofacial Orthopedics in Dedham, MA

Active since July 29, 2005
1 LYONS ST, DEDHAM, MA 02026(781) 329-1400(781) 278-5667 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Dedham Medical Assoc Inc NPPES

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

DEDHAM MEDICAL ASSOC INC (NPI 1205836376) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Dedham, Massachusetts and active in the NPI registry since July 2005. The organization lists Richard M Russo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205836376
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDEDHAM MEDICAL ASSOC INC
Location Address1 LYONS STDedham, MA 02026-5599
Mailing AddressPo Box 9120Dedham, MA 02027-9120 · (781) 329-1400 · Fax (981) 271-5667
Fax(781) 278-5667
Organization SubpartNo
Authorized OfficialRichard M RussoCfo · (781) 278-5540
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1205836376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1 LYONS ST, Dedham, MA 02026

Other Identifiers 10

Medicaid9766634MA
Medicaid9766537MA
Medicaid9766561MA
Medicaid9766618MA
Medicaid9766529MA
Medicaid9766596MA
Medicaid9766588MA
Medicaid9766545MA
Medicaid9766553MA
Medicaid9766626MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026
Clinic/Center (Multi-Specialty)
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Obstetrics & Gynecology
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Pediatrics
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026

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 Dedham Medical Assoc Inc's NPI number?

The NPI number for Dedham Medical Assoc Inc is 1205836376. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Dedham Medical Assoc Inc located?

Dedham Medical Assoc Inc is located at 1 Lyons St, Dedham, MA 02026. The listed phone number is (781) 329-1400.

What is Dedham Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Dedham Medical Assoc Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.