Active NPIOrganization

Blackstone Family Dental

Dentist, General Practice in Sutton, Massachusetts

NPI Number1215175005
Practice location
160 Worcester Providence Tpke, Suie # 16, Sutton, MA 01590-2901
Fax
—
Last updated
February 2, 2009

Blackstone Family Dental is a healthcare organization based in Sutton, MA. Blackstone Family Dental practices in Sutton, MA. The NPI Number for Blackstone Family Dental is 1215175005 and holds a License No. 21308 (MA). The current practice location address for Blackstone Family Dental is 160 Worcester Providence Tpke, Suie # 16, Sutton, MA 01590-2901 and can be reached out via phone at 312-237-6260.

Provider Profile Details

NPI Number
1215175005
Provider Name
Blackstone Family Dental
Provider Entity Type
Organization
Address
160 Worcester Providence Tpke, Suie # 16, Sutton, MA 01590-2901
Phone Number
312-237-6260
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Tiffany Noel Glasier, DMD · President · 312-237-6260
Provider Enumeration Date
February 2, 2009
Last Update Date
February 2, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Worcester Providence Tpke
Suie # 16
Sutton, MA 01590-2901
City
Sutton
Zip
01590-2901
Phone Number
312-237-6260
Sutton, MA 01590Get directions →

Provider Business Mailing Address Details

Address
160 Worcester Providence Tpke
Suie # 16
Sutton, MA 01590-2901
City
Sutton
State
MA
Zip
01590-2901
Phone Number
312-237-6260

License Information

License Number
21308
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 Blackstone Family Dental?

The NPI number of Blackstone Family Dental is 1215175005. It was assigned on February 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Blackstone Family Dental?

Blackstone Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21308.

Where does Blackstone Family Dental practice?

The practice location is 160 Worcester Providence Tpke, Suie # 16, Sutton, MA 01590-2901. The office can be reached at 312-237-6260 (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 1215175005 directly on the NPPES registry website.

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