Active NPIOrganization

Dental Assoicates Of Gloucester, LLC

Dentist, General Practice in Gloucester, Massachusetts

NPI Number1053342972
Practice location
321 Washington St, Gloucester, MA 01930-4837
Fax
978-281-7573
Last updated
August 22, 2020

Dental Assoicates Of Gloucester, LLC is a healthcare organization based in Gloucester, MA. Dental Assoicates Of Gloucester, LLC practices in Gloucester, MA. The NPI Number for Dental Assoicates Of Gloucester, LLC is 1053342972 and holds a License No. 12116 (MA). The current practice location address for Dental Assoicates Of Gloucester, LLC is 321 Washington St, Gloucester, MA 01930-4837 and can be reached out via phone at 978-281-1337 and via fax at 978-281-7573.

Provider Profile Details

NPI Number
1053342972
Provider Name
Dental Assoicates Of Gloucester, LLC
Provider Entity Type
Organization
Address
321 Washington St, Gloucester, MA 01930-4837
Phone Number
978-281-1337
Fax Number
978-281-7573
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Robert Anthony Russo, DMD · Partner · 978-281-1337
Provider Enumeration Date
July 6, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
321 Washington St
Gloucester, MA 01930-4837
Zip
01930-4837
Phone Number
978-281-1337
Fax Number
978-281-7573
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
321 Washington St
Gloucester, MA 01930-4837
City
Gloucester
State
MA
Zip
01930-4837
Phone Number
978-281-1337
Fax Number
978-281-7573

License Information

License Number (1)
12116
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
20806
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Dental Assoicates Of Gloucester, LLC?

The NPI number of Dental Assoicates Of Gloucester, LLC is 1053342972. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dental Assoicates Of Gloucester, LLC?

Dental Assoicates Of Gloucester, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 12116.

Where does Dental Assoicates Of Gloucester, LLC practice?

The practice location is 321 Washington St, Gloucester, MA 01930-4837. The office can be reached at 978-281-1337 (phone) or 978-281-7573 (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 1053342972 directly on the NPPES registry website.

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