Active NPIOrganization

Worcester Pediatric Dental Group LLC

Dentist, Pediatric Dentistry in Worcester, Massachusetts

NPI Number1245402577
Practice location
144 Pleasant St, Worcester, MA 01609-3208
Fax
508-754-9898
Last updated
March 27, 2008

Worcester Pediatric Dental Group LLC is a healthcare organization based in Worcester, MA. Worcester Pediatric Dental Group LLC practices in Worcester, MA. The NPI Number for Worcester Pediatric Dental Group LLC is 1245402577 and holds a License No. 21437 (MA). The current practice location address for Worcester Pediatric Dental Group LLC is 144 Pleasant St, Worcester, MA 01609-3208 and can be reached out via phone at 508-754-9825 and via fax at 508-754-9898.

Provider Profile Details

NPI Number
1245402577
Provider Name
Worcester Pediatric Dental Group LLC
Provider Entity Type
Organization
Address
144 Pleasant St, Worcester, MA 01609-3208
Phone Number
508-754-9825
Fax Number
508-754-9898
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Chengeto M. Vera, DMD, MPH · Member · 508-754-9825
Other Names
Worcester Kids' Dentist (Doing Business As)
Provider Enumeration Date
March 27, 2008
Last Update Date
March 27, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Pleasant St
Worcester, MA 01609-3208
Zip
01609-3208
Phone Number
508-754-9825
Fax Number
508-754-9898
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
144 Pleasant St
Worcester, MA 01609-3208
City
Worcester
State
MA
Zip
01609-3208
Phone Number
508-754-9825
Fax Number
508-754-9898

License Information

License Number
21437
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Worcester Pediatric Dental Group LLC?

The NPI number of Worcester Pediatric Dental Group LLC is 1245402577. It was assigned on March 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Worcester Pediatric Dental Group LLC?

Worcester Pediatric Dental Group LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 21437.

Where does Worcester Pediatric Dental Group LLC practice?

The practice location is 144 Pleasant St, Worcester, MA 01609-3208. The office can be reached at 508-754-9825 (phone) or 508-754-9898 (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 1245402577 directly on the NPPES registry website.

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