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ALLIANCE DENTAL CENTER, LLC
NPI 1922566041
Dentist - General Practice in Quincy, MA

Active since March 07, 2019CLIA 22D2228621 · Waiver
111 WASHINGTON ST STE 301, QUINCY, MA 02169(617) 984-5300(617) 481-0905 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Mar 7, 2019 (2 updates tracked since 2019).

About Alliance Dental Center, Llc NPPES

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

ALLIANCE DENTAL CENTER, LLC (NPI 1922566041) is a healthcare organization registered as a general practice in Quincy, Massachusetts and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Susan Fournier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922566041
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALLIANCE DENTAL CENTER, LLC
Location Address111 WASHINGTON ST STE 301Quincy, MA 02169-5354
Mailing AddressPo Box 4114Peabody, MA 01961-4114 · (617) 426-5878
Phone(617) 984-5300
Fax(617) 481-0905
Organization SubpartNo
Authorized OfficialSusan FournierCeo · (617) 426-5878
Enumeration DateMarch 7, 2019
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1922566041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
111 WASHINGTON ST STE 301, Quincy, MA 02169
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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

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 22D2228621

Alliance Dental Center, LLC · Quincy, MA
Active · expires Jun 28, 2027
CLIA Number22D2228621
Laboratory TypeDental Practice
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDivya Upadhyay
Laboratory Phone(617) 984-6156
Laboratory LocationAlliance Dental Center, LLC111 Washington Street Suite 301, Quincy, MA 02169
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Alliance Dental Center, LLC's NPI number?

The NPI number for Alliance Dental Center, LLC is 1922566041. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Alliance Dental Center, LLC located?

Alliance Dental Center, LLC is located at 111 Washington St Ste 301, Quincy, MA 02169. The listed phone number is (617) 984-5300.

What is Alliance Dental Center, LLC's specialty?

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

Does Alliance Dental Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2228621) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alliance Dental Center, LLC was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.