Andrey Mazo DMD PC
Dentist, General Practice in Worcester, Massachusetts
1316385214- Practice location
- 44 Front St, Worcester, MA 01608-1733
- Phone
- 508-753-9200
- Fax
- —
- Last updated
- June 13, 2013
Andrey Mazo DMD PC is a healthcare organization based in Worcester, MA. Andrey Mazo DMD PC practices in Worcester, MA. The NPI Number for Andrey Mazo DMD PC is 1316385214 and holds a License No. 18643 (MA). The current practice location address for Andrey Mazo DMD PC is 44 Front St, Worcester, MA 01608-1733 and can be reached out via phone at 508-753-9200.
Provider Profile Details
- NPI Number
- 1316385214
- Provider Name
- Andrey Mazo DMD PC
- Provider Entity Type
- Organization
- Address
- 44 Front St, Worcester, MA 01608-1733
- Phone Number
- 508-753-9200
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Andrey Mazo · President · 617-285-6414
- Provider Enumeration Date
- June 13, 2013
- Last Update Date
- June 13, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Front St
Worcester, MA 01608-1733 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608-1733
- Phone Number
- 508-753-9200
Provider Business Mailing Address Details
- Address
- 76 Otis St
Westborough, MA 01581-3315 - City
- Westborough
- State
- MA
- Zip
- 01581-3315
License Information
- License Number
- 18643
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Andrey Mazo DMD PC?
The NPI number of Andrey Mazo DMD PC is 1316385214. It was assigned on June 13, 2013 and is currently active in the NPPES registry.
What is the specialty of Andrey Mazo DMD PC?
Andrey Mazo DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18643.
Where does Andrey Mazo DMD PC practice?
The practice location is 44 Front St, Worcester, MA 01608-1733. The office can be reached at 508-753-9200 (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 1316385214 directly on the NPPES registry website.