Active NPIOrganization

Super Dental Of Fitchburg PLLC

Clinic/Center, Dental in Fitchburg, Massachusetts

NPI Number1386242758
Practice location
130 Water St, Fitchburg, MA 01420-5478
Fax
—
Last updated
October 19, 2020

Super Dental Of Fitchburg PLLC is a healthcare organization based in Fitchburg, MA. Super Dental Of Fitchburg PLLC practices in Fitchburg, MA. The NPI Number for Super Dental Of Fitchburg PLLC is 1386242758. The current practice location address for Super Dental Of Fitchburg PLLC is 130 Water St, Fitchburg, MA 01420-5478 and can be reached out via phone at 978-342-8500.

Provider Profile Details

NPI Number
1386242758
Provider Name
Super Dental Of Fitchburg PLLC
Provider Entity Type
Organization
Address
130 Water St, Fitchburg, MA 01420-5478
Phone Number
978-342-8500
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Houssam Alkhoury · Owner · 508-589-8270
Provider Enumeration Date
October 16, 2020
Last Update Date
October 19, 2020
Certification Date
October 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Water St
Fitchburg, MA 01420-5478
Zip
01420-5478
Phone Number
978-342-8500
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
87 Elm St
Hopkinton, MA 01748-1638
City
Hopkinton
State
MA
Zip
01748-1638
Phone Number
508-589-8270

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Super Dental Of Fitchburg PLLC?

The NPI number of Super Dental Of Fitchburg PLLC is 1386242758. It was assigned on October 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Super Dental Of Fitchburg PLLC?

Super Dental Of Fitchburg PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Super Dental Of Fitchburg PLLC practice?

The practice location is 130 Water St, Fitchburg, MA 01420-5478. The office can be reached at 978-342-8500 (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 1386242758 directly on the NPPES registry website.

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