Active NPIOrganization

Cedar Brook Pediatric Dentistry PLLC

Dentist, Pediatric Dentistry in Southborough, Massachusetts

NPI Number1003579277
Practice location
162 Cordaville RD Ste 175, Southborough, MA 01772-1838
Fax
—
Last updated
October 14, 2021

Cedar Brook Pediatric Dentistry PLLC is a healthcare organization based in Southborough, MA. Cedar Brook Pediatric Dentistry PLLC practices in Southborough, MA. The NPI Number for Cedar Brook Pediatric Dentistry PLLC is 1003579277. The current practice location address for Cedar Brook Pediatric Dentistry PLLC is 162 Cordaville RD Ste 175, Southborough, MA 01772-1838 and can be reached out via phone at 617-817-6346.

Provider Profile Details

NPI Number
1003579277
Provider Name
Cedar Brook Pediatric Dentistry PLLC
Provider Entity Type
Organization
Address
162 Cordaville RD Ste 175, Southborough, MA 01772-1838
Phone Number
617-817-6346
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Naomi La, DMD · Practice Owner · 617-817-6346
Provider Enumeration Date
October 14, 2021
Last Update Date
October 14, 2021
Certification Date
October 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Cordaville RD Ste 175
Southborough, MA 01772-1838
Zip
01772-1838
Phone Number
617-817-6346
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
302 Bay Dr
Northborough, MA 01532-3403
City
Northborough
State
MA
Zip
01532-3403

License Information

Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cedar Brook Pediatric Dentistry PLLC?

The NPI number of Cedar Brook Pediatric Dentistry PLLC is 1003579277. It was assigned on October 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Cedar Brook Pediatric Dentistry PLLC?

Cedar Brook Pediatric Dentistry PLLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Cedar Brook Pediatric Dentistry PLLC practice?

The practice location is 162 Cordaville RD Ste 175, Southborough, MA 01772-1838. The office can be reached at 617-817-6346 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003579277 directly on the NPPES registry website.

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