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Leicester Dental Associates
Orthodontics and Dentofacial Orthopedic Dentist in Leicester, Massachusetts
NPI 1336171115

Leicester Dental Associates is a Orthodontics and Dentofacial Orthopedic Dentist based in Leicester, MA and is specialized in Orthodontics and Dentofacial Orthopedics. Leicester Dental Associates practices in Leicester, MA. The NPI Number for Leicester Dental Associates is 1336171115 and holds a License No. 17984 (Massachusetts).

The current practice location address for Leicester Dental Associates is 119 S Main St, Leicester, MA and can be reached out via phone at 508-892-4882 and via fax at 508-892-4279.

Location: 119 S Main St, Leicester, MA, 01524-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336171115
Provider Name
Leicester Dental Associates
Credential
Provider Entity Type
Organization
Address
119 S Main St, Leicester, MA, 01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X11875 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
119 S Main St
City
Leicester
State
Massachusetts
Zip
01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279
person
Provider Business Mailing Address Details
Address
119 S Main St
City
Leicester
State
Massachusetts
Zip
01524-1403
Phone Number
508-892-4882
Fax Number
508-892-4279
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19388 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
20602 (Massachusetts)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
96710 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
17984 (Massachusetts)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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