Southbridge Dental LLC
Dentist, General Practice in Southbridge, Massachusetts
1184284549- Practice location
- 305 Main St, Southbridge, MA 01550-3726
- Phone
- 508-765-0880
- Fax
- —
- Last updated
- September 20, 2021
Southbridge Dental LLC is a healthcare organization based in Southbridge, MA. Southbridge Dental LLC practices in Southbridge, MA. The NPI Number for Southbridge Dental LLC is 1184284549. The current practice location address for Southbridge Dental LLC is 305 Main St, Southbridge, MA 01550-3726 and can be reached out via phone at 508-765-0880.
Provider Profile Details
- NPI Number
- 1184284549
- Provider Name
- Southbridge Dental LLC
- Provider Entity Type
- Organization
- Address
- 305 Main St, Southbridge, MA 01550-3726
- Phone Number
- 508-765-0880
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Suman Reddivari, DMD · Member · 781-552-1567
- Provider Enumeration Date
- June 18, 2019
- Last Update Date
- September 20, 2021
- Certification Date
- September 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Main St
Southbridge, MA 01550-3726 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-3726
- Phone Number
- 508-765-0880
Provider Business Mailing Address Details
- Address
- 305 Main St
Southbridge, MA 01550-3726 - City
- Southbridge
- State
- MA
- Zip
- 01550-3726
- Phone Number
- 508-765-0880
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Southbridge, MA
View all Dentist, General Practice providers in Southbridge →- A.m. Neidhardt, Dds,pcDentist, General Practice · NPI 1952415721
- Anthony G Dimatteo, DDSDentist, General Practice · NPI 1336297753
- Anthony G. Dimatteo DDSDentist, General Practice · NPI 1306994702
- Dr. Allen J Rubin, DMDDentist, General Practice · NPI 1578766630
- Dr. James Park, DMDDentist, General Practice · NPI 1841553880
- Dr. Mario A Montoya, DDSDentist, General Practice · NPI 1447398227
Frequently Asked Questions
What is the NPI number of Southbridge Dental LLC?
The NPI number of Southbridge Dental LLC is 1184284549. It was assigned on June 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Southbridge Dental LLC?
Southbridge Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Southbridge Dental LLC practice?
The practice location is 305 Main St, Southbridge, MA 01550-3726. The office can be reached at 508-765-0880 (phone).
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 1184284549 directly on the NPPES registry website.