Southborough Dental Partners PLLC
Clinic/Center, Dental in Southborough, Massachusetts
1053585869- Practice location
- 21 Turnpike RD, Suite F, Southborough, MA 01772-2117
- Phone
- 508-357-8800
- Fax
- 508-624-0191
- Last updated
- September 18, 2019
Southborough Dental Partners PLLC is a healthcare organization based in Southborough, MA. Southborough Dental Partners PLLC practices in Southborough, MA. The NPI Number for Southborough Dental Partners PLLC is 1053585869 and holds a License No. 18504 (MA). The current practice location address for Southborough Dental Partners PLLC is 21 Turnpike RD, Suite F, Southborough, MA 01772-2117 and can be reached out via phone at 508-357-8800 and via fax at 508-624-0191.
Provider Profile Details
- NPI Number
- 1053585869
- Provider Name
- Southborough Dental Partners PLLC
- Provider Entity Type
- Organization
- Address
- 21 Turnpike RD, Suite F, Southborough, MA 01772-2117
- Phone Number
- 508-357-8800
- Fax Number
- 508-624-0191
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Husam Al-Khateeb, DMD · Dentist (Owner) · 617-571-4992
- Provider Enumeration Date
- April 14, 2008
- Last Update Date
- September 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Turnpike RD
Suite F
Southborough, MA 01772-2117 - City
- Southborough
- State
- Massachusetts
- Zip
- 01772-2117
- Phone Number
- 508-357-8800
- Fax Number
- 508-624-0191
Provider Business Mailing Address Details
- Address
- 21 Turnpike RD
Suite F
Southborough, MA 01772-2117 - City
- Southborough
- State
- MA
- Zip
- 01772-2117
- Phone Number
- 508-357-8800
- Fax Number
- 508-624-0191
License Information
- License Number
- 18504
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Southborough Dental Partners PLLC?
The NPI number of Southborough Dental Partners PLLC is 1053585869. It was assigned on April 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Southborough Dental Partners PLLC?
Southborough Dental Partners PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 18504.
Where does Southborough Dental Partners PLLC practice?
The practice location is 21 Turnpike RD, Suite F, Southborough, MA 01772-2117. The office can be reached at 508-357-8800 (phone) or 508-624-0191 (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 1053585869 directly on the NPPES registry website.