Massachusetts Dental Professionals, P.c.
Dentist, General Practice in Brewster, Massachusetts
1336394006- Practice location
- 11 Bay State CT, Brewster, MA 02631-2120
- Phone
- 508-255-0111
- Fax
- 508-255-1160
- Last updated
- June 11, 2026
Massachusetts Dental Professionals, P.c. is a healthcare organization based in Brewster, MA. Massachusetts Dental Professionals, P.c. practices in Brewster, MA. The NPI Number for Massachusetts Dental Professionals, P.c. is 1336394006 and holds a License No. 22060 (MA). The current practice location address for Massachusetts Dental Professionals, P.c. is 11 Bay State CT, Brewster, MA 02631-2120 and can be reached out via phone at 508-255-0111 and via fax at 508-255-1160.
Provider Profile Details
- NPI Number
- 1336394006
- Provider Name
- Massachusetts Dental Professionals, P.c.
- Provider Entity Type
- Organization
- Address
- 11 Bay State CT, Brewster, MA 02631-2120
- Phone Number
- 508-255-0111
- Fax Number
- 508-255-1160
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- Yes
- Parent Organization
- Massachusetts Dental Professionals, P.c.
- Authorized Official
- Hillary Thull · Credentialing Coordinator · 217-540-8946
- Other Names
- East Brewster Dental (Doing Business As)
- Provider Enumeration Date
- November 23, 2008
- Last Update Date
- June 11, 2026
- Certification Date
- June 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Bay State CT
Brewster, MA 02631-2120 - City
- Brewster
- State
- Massachusetts
- Zip
- 02631-2120
- Phone Number
- 508-255-0111
- Fax Number
- 508-255-1160
Provider Business Mailing Address Details
- Address
- 11 Bay State CT
Brewster, MA 02631-2120 - City
- Brewster
- State
- MA
- Zip
- 02631-2120
- Phone Number
- 508-255-0111
- Fax Number
- 508-255-1160
License Information
- License Number (1)
- 22060
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X
- License State (2)
- MA
- Taxonomy (2)
- 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 Massachusetts Dental Professionals, P.c.?
The NPI number of Massachusetts Dental Professionals, P.c. is 1336394006. It was assigned on November 23, 2008 and is currently active in the NPPES registry.
What is the specialty of Massachusetts Dental Professionals, P.c.?
Massachusetts Dental Professionals, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22060.
Where does Massachusetts Dental Professionals, P.c. practice?
The practice location is 11 Bay State CT, Brewster, MA 02631-2120. The office can be reached at 508-255-0111 (phone) or 508-255-1160 (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 1336394006 directly on the NPPES registry website.