ASSEMBLY SQUARE FAMILY DENTAL NPI 1538408745

NPI Information

  • NPI: 1538408745
  • Provider Name: ASSEMBLY SQUARE FAMILY DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5 MIDDLESEX AVE
    SUITE 305, 3RD FLOOR
    SOMERVILLE, MA
    ZIP 02145
  • Phone: (617) 764-1781

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NPI Details

ASSEMBLY SQUARE FAMILY DENTAL is a general practice dentist in Somerville, MA. The provider is 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. ASSEMBLY SQUARE FAMILY DENTAL NPI is 1538408745. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 MIDDLESEX AVE
SUITE 305, 3RD FLOOR
SOMERVILLE, MA
ZIP 02145-102
Phone: (617) 764-1781
Fax: (617) 764-5649

The provider's authorized official is Sanjeevan Virk .
The authorized official title is Manager and has the following contact phone number (617) 764-1781.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN1855058MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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