WALTHAM FAMILY DENTAL NPI 1548617814

Dentist (General Practice) in Waltham, MA

NPI 1548617814 Organization Dentist General Practice

About WALTHAM FAMILY DENTAL

Waltham Family Dental is a provider established in Waltham, Massachusetts specializing in dentist (general practice) . The NPI number of Waltham Family Dental is 1548617814 and was assigned on May 2016. The practitioner's primary taxonomy code is 1223G0001X with license number DN20802 (MA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Waltham Family Dental operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Vik Kapoor (Manager)

A dentist like Waltham Family Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1548617814

Provider NameWALTHAM FAMILY DENTAL
Provider Location Address30 GRANT ST WALTHAM, MA 02453
Provider Mailing Address30 GRANT ST WALTHAM, MA 02453
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-17-2016
Last Update Date05-17-2016


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.DN20802
License StateMA
Taxonomy DescriptionA 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.

Business Address

WALTHAM FAMILY DENTAL
30 GRANT ST
WALTHAM, MA
ZIP 02453
Phone: (781) 894-1634

Get Directions


Mailing Address

WALTHAM FAMILY DENTAL
30 GRANT ST
WALTHAM, MA
ZIP 02453
Phone:



Authorized Official

Authorized Official Name VIK KAPOOR
Authorized Official TitleMANAGER
Authorized Official Phone(617) 953-5221

Group Taxonomy


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

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235194929DR. RICHARD CROSSMAN DPM
Individual
Podiatrist30 GRANT ST
WALTHAM, MA 02453
(781) 893-9186
1558531699DR. RICHARD CROSSMAN, DPM
Organization
Durable Medical Equipment & Medical Supplies30 GRANT ST
WALTHAM, MA 02453
(781) 893-9186
1710009477KERRY WU DMD PC
Organization
Dentist (General Practice)30 GRANT ST
WALTHAM, MA 02453
(781) 894-1634

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.