Active NPIOrganization

Commonwealth Mobile Oral Health Services, LLC

Dentist, General Practice in Lakeville, Massachusetts

NPI Number1215081625
Practice location
12 Colleen Dr, Lakeville, MA 02347-1663
Fax
508-743-7827
Last updated
July 19, 2012

Commonwealth Mobile Oral Health Services, LLC is a healthcare organization based in Lakeville, MA. Commonwealth Mobile Oral Health Services, LLC practices in Lakeville, MA. The NPI Number for Commonwealth Mobile Oral Health Services, LLC is 1215081625 and holds a License No. 12683 (MA). The current practice location address for Commonwealth Mobile Oral Health Services, LLC is 12 Colleen Dr, Lakeville, MA 02347-1663 and can be reached out via phone at 508-947-0111 and via fax at 508-743-7827.

Provider Profile Details

NPI Number
1215081625
Provider Name
Commonwealth Mobile Oral Health Services, LLC
Provider Entity Type
Organization
Address
12 Colleen Dr, Lakeville, MA 02347-1663
Phone Number
508-947-0111
Fax Number
508-743-7827
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Mark J Doherty, DMD, MPH, CCHP · Director · 508-947-0111
Provider Enumeration Date
January 22, 2007
Last Update Date
July 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Colleen Dr
Lakeville, MA 02347-1663
Zip
02347-1663
Phone Number
508-947-0111
Fax Number
508-743-7827
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
12 Colleen Dr
Lakeville, MA 02347-1663
City
Lakeville
State
MA
Zip
02347-1663
Phone Number
508-947-0111
Fax Number
508-743-7827

License Information

License Number
12683
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 Commonwealth Mobile Oral Health Services, LLC?

The NPI number of Commonwealth Mobile Oral Health Services, LLC is 1215081625. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Commonwealth Mobile Oral Health Services, LLC?

Commonwealth Mobile Oral Health Services, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 12683.

Where does Commonwealth Mobile Oral Health Services, LLC practice?

The practice location is 12 Colleen Dr, Lakeville, MA 02347-1663. The office can be reached at 508-947-0111 (phone) or 508-743-7827 (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 1215081625 directly on the NPPES registry website.

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