OrganizationActive
Advanced Dental Spa
NPI 1164621793 · General Practice Dentistry · New Bedford, MA
Provider details
- NPI number
- 1164621793
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Vivianne Khalife-Yazbeck, President(774) 688-9226
- License
- 21657 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
144 Dartmouth St
New Bedford, MA 02740-3101
Phone: (774) 688-9226
Street-level locationGet directions
Mailing address
140 Dartmouth Street
New Bedford, MA 02740
Registry dates
- Enumerated
- 2007-07-13
- Last updated
- 2007-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.