Pine Dental PC
Clinic/Center, Dental in Fitchburg, Massachusetts
1245081736- Practice location
- 394 Water St, Fitchburg, MA 01420-5602
- Phone
- 617-888-3400
- Fax
- —
- Last updated
- April 1, 2024
Pine Dental PC is a healthcare organization based in Fitchburg, MA. Pine Dental PC practices in Fitchburg, MA. The NPI Number for Pine Dental PC is 1245081736. The current practice location address for Pine Dental PC is 394 Water St, Fitchburg, MA 01420-5602 and can be reached out via phone at 617-888-3400.
Provider Profile Details
- NPI Number
- 1245081736
- Provider Name
- Pine Dental PC
- Provider Entity Type
- Organization
- Address
- 394 Water St, Fitchburg, MA 01420-5602
- Phone Number
- 617-888-3400
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dong Won Kim, DMD · Owner · 617-888-3400
- Provider Enumeration Date
- April 1, 2024
- Last Update Date
- April 1, 2024
- Certification Date
- April 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 394 Water St
Fitchburg, MA 01420-5602 - City
- Fitchburg
- State
- Massachusetts
- Zip
- 01420-5602
- Phone Number
- 617-888-3400
Provider Business Mailing Address Details
- Address
- 394 Water St
Fitchburg, MA 01420-5602 - City
- Fitchburg
- State
- MA
- Zip
- 01420-5602
- Phone Number
- 617-888-3400
License Information
- 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 Pine Dental PC?
The NPI number of Pine Dental PC is 1245081736. It was assigned on April 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Pine Dental PC?
Pine Dental PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Pine Dental PC practice?
The practice location is 394 Water St, Fitchburg, MA 01420-5602. The office can be reached at 617-888-3400 (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 1245081736 directly on the NPPES registry website.