Active NPIIndividual providerSole proprietor

Dr. Tina R Theroux

Dentist, General Practice in North Grafton, Massachusetts

NPI Number1083796023
Practice location
103 Worcester St Ste A, North Grafton, MA 01536-1050
Fax
508-839-6556
Last updated
October 26, 2022

Tina Renee Theroux is a Dentist, General Practice based in North Grafton, MA. Tina Renee Theroux practices in North Grafton, MA. The NPI Number for Tina Renee Theroux is 1083796023 and holds a License No. 20219 (MA). The current practice location address for Tina Renee Theroux is 103 Worcester St Ste A, North Grafton, MA 01536-1050 and can be reached out via phone at 508-839-2262 and via fax at 508-839-6556.

Provider Profile Details

NPI Number
1083796023
Provider Name
Tina Renee Theroux
Provider Entity Type
Individual
Gender
Female
Address
103 Worcester St Ste A, North Grafton, MA 01536-1050
Phone Number
508-839-2262
Fax Number
508-839-6556
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2006
Last Update Date
October 26, 2022
Certification Date
October 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Worcester St Ste A
North Grafton, MA 01536-1050
Zip
01536-1050
Phone Number
508-839-2262
Fax Number
508-839-6556
North Grafton, MA 01536Get directions →

Provider Business Mailing Address Details

Address
103 Worcester St Ste A
North Grafton, MA 01536-1050
City
North Grafton
State
MA
Zip
01536-1050
Phone Number
508-839-2262
Fax Number
508-839-6556

License Information

License Number
20219
License State
MA
Taxonomy
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 Dr. Tina R Theroux?

The NPI number of Dr. Tina R Theroux is 1083796023. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Tina R Theroux?

Dr. Tina R Theroux is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20219.

Where does Dr. Tina R Theroux practice?

The practice location is 103 Worcester St Ste A, North Grafton, MA 01536-1050. The office can be reached at 508-839-2262 (phone) or 508-839-6556 (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 1083796023 directly on the NPPES registry website.

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