Commonwealth Periodontics
Dentist, Periodontics in Worcester, Massachusetts
1023425808- Practice location
- 48 Elm St, Worcester, MA 01609-2541
- Phone
- 150-875-4122
- 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 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-2541
- Phone Number
- 150-875-4122
- Fax Number
- 508-754-9378
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Worcester, MA
View all Dentist, Periodontics providers in Worcester →- Abraham W Haddad DMD PCDentist, Periodontics · NPI 1881760973
- Abraham W Haddad, DMDDentist, Periodontics · NPI 1588737902
- Carl Cohen DMD PCDentist, Periodontics · NPI 1487714812
- David B Handsman, DMDDentist, Periodontics · NPI 1467525881
- Dr. Athan Savas, DDSDentist, Periodontics · NPI 1336157874
- Dr. Eugene J Mariani Jr., DDSDentist, Periodontics · NPI 1184649444
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.