Professional Dental Allaince Of Massachusetts PLLC
Dentist, General Practice in Boylston, Massachusetts
1245878305- Practice location
- 17 Main St, Boylston, MA 01505-1948
- Phone
- 508-869-6388
- Fax
- —
- Last updated
- December 19, 2019
Professional Dental Allaince Of Massachusetts PLLC is a healthcare organization based in Boylston, MA. Professional Dental Allaince Of Massachusetts PLLC practices in Boylston, MA. The NPI Number for Professional Dental Allaince Of Massachusetts PLLC is 1245878305. The current practice location address for Professional Dental Allaince Of Massachusetts PLLC is 17 Main St, Boylston, MA 01505-1948 and can be reached out via phone at 508-869-6388.
Provider Profile Details
- NPI Number
- 1245878305
- Provider Name
- Professional Dental Allaince Of Massachusetts PLLC
- Provider Entity Type
- Organization
- Address
- 17 Main St, Boylston, MA 01505-1948
- Phone Number
- 508-869-6388
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Andrew Matta · Owner · 724-698-2500
- Other Names
- Innovative Dental (Doing Business As)
- Provider Enumeration Date
- December 19, 2019
- Last Update Date
- December 19, 2019
- Certification Date
- December 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Main St
Boylston, MA 01505-1948 - City
- Boylston
- State
- Massachusetts
- Zip
- 01505-1948
- Phone Number
- 508-869-6388
Provider Business Mailing Address Details
- Address
- 11 S Mill St Ste 200
New Castle, PA 16101-3680 - City
- New Castle
- State
- PA
- Zip
- 16101-3680
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 Boylston, MA
View all Dentist, General Practice providers in Boylston →- Boylston Dental AssociatesDentist, General Practice · NPI 1235306002
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- Karen E Gomez, RNRegistered Nurse · NPI 1609776970
- Michaela Rapoza, LCSWSocial Worker, Clinical · NPI 1134895683
- Miriam Chouki, MACounselor, Mental Health · NPI 1306294400
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Frequently Asked Questions
What is the NPI number of Professional Dental Allaince Of Massachusetts PLLC?
The NPI number of Professional Dental Allaince Of Massachusetts PLLC is 1245878305. It was assigned on December 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Professional Dental Allaince Of Massachusetts PLLC?
Professional Dental Allaince Of Massachusetts PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Professional Dental Allaince Of Massachusetts PLLC practice?
The practice location is 17 Main St, Boylston, MA 01505-1948. The office can be reached at 508-869-6388 (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 1245878305 directly on the NPPES registry website.