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STEPHEN M. VULTAGGIO DDS, PC
NPI 1477070571
Clinic/Center - Dental in Concord, MA

Active since August 29, 2017CLIA 22D2199900 · Waiver
115 THOREAU ST, CONCORD, MA 01742(978) 371-2792 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen M. Vultaggio Dds, Pc NPPES

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

STEPHEN M. VULTAGGIO DDS, PC (NPI 1477070571), doing business as Stephen M. Vultaggio Dds, is a healthcare organization registered as a dental in Concord, Massachusetts and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Stephen M Vultaggio, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1477070571
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTEPHEN M. VULTAGGIO DDS, PC
Location Address115 THOREAU STConcord, MA 01742-2443
Mailing Address115 Thoreau StConcord, MA 01742-2443 · (978) 808-2234
Phone(978) 371-2792
Organization SubpartNo
Authorized OfficialStephen M VultaggioOwner/dentist · (978) 371-2792
Enumeration DateAugust 29, 2017
✔ NPI 1477070571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
115 THOREAU ST, Concord, MA 01742
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Other Names 1

Former Legal Business NameStephen M. Vultaggio Dds

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2199900

Stephen M Vultaggio Dds, PC · Concord, MA
Active · expires Nov 11, 2026
CLIA Number22D2199900
Laboratory TypeDental
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorStephen M. Vultaggio
Laboratory Phone(978) 371-2792
Laboratory LocationStephen M Vultaggio Dds, PC115 Thoreau St, Concord, MA 01742
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. ANDREW GEORGE VULTAGGIO DMD
Dentist
115 THOREAU ST
CONCORD, MA 01742
Middlesex County (978) 371-2792
DR. STEPHEN MARIO VULTAGGIO D.D.S.
Dentist (General Practice)
115 THOREAU ST
CONCORD, MA 01742
Middlesex County (978) 371-2792
JULIANA ANDREA ENRIQUEZ
Student in an Organized Health Care Education/Training Program
115 THOREAU ST
CONCORD, MA 01742
Middlesex County (978) 371-2792

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 Stephen M. Vultaggio Dds, PC's NPI number?

The NPI number for Stephen M. Vultaggio Dds, PC is 1477070571. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider was formerly known as Stephen M. Vultaggio Dds.

Where is Stephen M. Vultaggio Dds, PC located?

Stephen M. Vultaggio Dds, PC is located at 115 Thoreau St, Concord, MA 01742. The listed phone number is (978) 371-2792.

What is Stephen M. Vultaggio Dds, PC's specialty?

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

Does Stephen M. Vultaggio Dds, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2199900) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephen M. Vultaggio Dds, PC was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.