OrganizationActive
Aqua Dental LLC
NPI 1336392505 · Dental Clinic/Center · Randolph, MA
Aqua Dental LLC is a Dental Clinic/Center organization in Randolph, MA (NPI 1336392505).
Provider details
- NPI number
- 1336392505
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Fayerman, Owner(781) 963-6077
- License
- 18450 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1395 N Main St
Randolph, MA 02368-1768
Phone: (781) 963-6077
Street-level locationGet directions
Mailing address
1395 N Main St
Randolph, MA 02368-1768
Registry dates
- Enumerated
- 2008-10-31
- Last updated
- 2008-10-31
Frequently asked questions
- What is Aqua Dental LLC's NPI number?
- Aqua Dental LLC's National Provider Identifier (NPI) is 1336392505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aqua Dental LLC?
- Aqua Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Aqua Dental LLC located?
- Aqua Dental LLC's practice location on file with NPPES is 1395 N Main St, Randolph, MA 02368-1768.
- What is Aqua Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Aqua Dental LLC is (781) 963-6077.
- Who is the authorized official for Aqua Dental LLC?
- The authorized official listed on Aqua Dental LLC's NPPES record is Jeffrey Fayerman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aqua Dental LLC's NPI active?
- Yes — Aqua Dental LLC's NPI (1336392505) is active in the NPPES registry as of the last update on 2008-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.