Active NPIOrganization

Leicester Dental Associates

Dentist, Oral and Maxillofacial Surgery in Leicester, Massachusetts

NPI Number1336171115
Practice location
119 S Main St, Leicester, MA 01524-1403
Fax
508-892-4279
Last updated
September 11, 2025

Leicester Dental Associates is a healthcare organization based in Leicester, MA. Leicester Dental Associates practices in Leicester, MA. The NPI Number for Leicester Dental Associates is 1336171115 and holds a License No. 17984 (MA). The current practice location address for Leicester Dental Associates is 119 S Main St, Leicester, MA 01524-1403 and can be reached out via phone at 508-892-4882 and via fax at 508-892-4279.

Provider Profile Details

NPI Number
1336171115
Provider Name
Leicester Dental Associates
Provider Entity Type
Organization
Address
119 S Main St, Leicester, MA 01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. John J Millette, DMD · Owner · 508-892-4882
Other Names
John J Millette (Former Legal Business Name)
Provider Enumeration Date
July 6, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 S Main St
Leicester, MA 01524-1403
Zip
01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279
Leicester, MA 01524Get directions →

Provider Business Mailing Address Details

Address
119 S Main St
Leicester, MA 01524-1403
City
Leicester
State
MA
Zip
01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279

License Information

License Number (1)
17984
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
96710
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
20602
License State (3)
MA
Taxonomy (3)
Dentist, Periodontics · 1223P0300X
License Number (4)
17965
License State (4)
MA
License Number (5)
19388
License State (5)
MA
Taxonomy (5)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Leicester Dental Associates?

The NPI number of Leicester Dental Associates is 1336171115. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Leicester Dental Associates?

Leicester Dental Associates is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 17984.

Where does Leicester Dental Associates practice?

The practice location is 119 S Main St, Leicester, MA 01524-1403. The office can be reached at 508-892-4882 (phone) or 508-892-4279 (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 1336171115 directly on the NPPES registry website.

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