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AQUA DENTAL LLC
NPI 1336392505
Clinic/Center - Dental in Randolph, MA

Active since October 31, 2008
1395 N MAIN ST, RANDOLPH, MA 02368(781) 963-6077 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aqua Dental Llc NPPES

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

AQUA DENTAL LLC (NPI 1336392505) is a healthcare organization registered as a dental in Randolph, Massachusetts and active in the NPI registry since October 2008. The organization lists Jeffrey Fayerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1336392505
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAQUA DENTAL LLC
Location Address1395 N MAIN STRandolph, MA 02368-1768
Mailing Address1395 N Main StRandolph, MA 02368-1768 · (781) 963-6077
Phone(781) 963-6077
Organization SubpartNo
Authorized OfficialJeffrey FayermanOwner · (781) 963-6077
Enumeration DateOctober 31, 2008
✔ NPI 1336392505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MA · 18450
1395 N MAIN ST, Randolph, MA 02368
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

STELIOS TSARTSIDIS DMD PC
Dentist
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 963-6077
MRS. ROSEMARY DOHERTY BYRNE NP
Nurse Practitioner (Adult Health)
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 961-7887
DR. MATTHEW DEVINE D.M.D.
Dentist
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 963-6077
DR. STELIOS TSARTSIDIS DMD
Dentist
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 963-6077
MISS ANNMARIE HAYES RN-C, NP
Nurse Practitioner
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (800) 973-3009
MICHAEL WAYNE BROWN
Dentist
1395 N MAIN ST
RANDOLPH, MA 02368
Norfolk County (781) 963-6077
REGIONAL HOME CARE INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1395 N MAIN ST, SUITE F
RANDOLPH, MA 02368
Norfolk County (781) 963-1426
NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
Clinic/Center (Multi-Specialty)
1395 N MAIN ST, SUITE G
RANDOLPH, MA 02368
Norfolk County (781) 961-7887

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 Aqua Dental LLC's NPI number?

The NPI number for Aqua Dental LLC is 1336392505. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Aqua Dental LLC located?

Aqua Dental LLC is located at 1395 N Main St, Randolph, MA 02368. The listed phone number is (781) 963-6077.

What is Aqua Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Aqua Dental LLC was last updated on October 31, 2008. 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.