Active NPIOrganization

Commonwealth Periodontics

Dentist, Periodontics in Worcester, Massachusetts

NPI Number1023425808
Practice location
48 Elm St, Worcester, MA 01609-2541
Fax
508-754-9378
Last updated
July 14, 2014

Commonwealth Periodontics is a healthcare organization based in Worcester, MA. Commonwealth Periodontics practices in Worcester, MA. The NPI Number for Commonwealth Periodontics is 1023425808 and holds a License No. 20952 (MA). The current practice location address for Commonwealth Periodontics is 48 Elm St, Worcester, MA 01609-2541 and can be reached out via phone at 150-875-4122 and via fax at 508-754-9378.

Provider Profile Details

NPI Number
1023425808
Provider Name
Commonwealth Periodontics
Provider Entity Type
Organization
Address
48 Elm St, Worcester, MA 01609-2541
Phone Number
150-875-4122
Fax Number
508-754-9378
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Susan Marie Depatie · Director Of Operations · 508-754-1122
Provider Enumeration Date
July 14, 2014
Last Update Date
July 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Elm St
Worcester, MA 01609-2541
Zip
01609-2541
Phone Number
150-875-4122
Fax Number
508-754-9378
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
48 Elm St
Worcester, MA 01609-2541
City
Worcester
State
MA
Zip
01609-2541
Phone Number
150-875-4122
Fax Number
508-754-9378

License Information

License Number
20952
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · 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 Commonwealth Periodontics?

The NPI number of Commonwealth Periodontics is 1023425808. It was assigned on July 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Commonwealth Periodontics?

Commonwealth Periodontics is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 20952.

Where does Commonwealth Periodontics practice?

The practice location is 48 Elm St, Worcester, MA 01609-2541. The office can be reached at 150-875-4122 (phone) or 508-754-9378 (fax).

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 1023425808 directly on the NPPES registry website.

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