Active NPIOrganization

Centralmassdentalgroup PC

Clinic/Center, Dental in Gardner, Massachusetts

NPI Number1558964957
Practice location
49 Cross St, Gardner, MA 01440-2213
Fax
—
Last updated
November 18, 2020

Centralmassdentalgroup PC is a healthcare organization based in Gardner, MA. Centralmassdentalgroup PC practices in Gardner, MA. The NPI Number for Centralmassdentalgroup PC is 1558964957. The current practice location address for Centralmassdentalgroup PC is 49 Cross St, Gardner, MA 01440-2213 and can be reached out via phone at 978-632-5659.

Provider Profile Details

NPI Number
1558964957
Provider Name
Centralmassdentalgroup PC
Provider Entity Type
Organization
Address
49 Cross St, Gardner, MA 01440-2213
Phone Number
978-632-5659
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Dong Won Kim, DMD · Owner · 978-632-5659
Provider Enumeration Date
November 18, 2020
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Cross St
Gardner, MA 01440-2213
Zip
01440-2213
Phone Number
978-632-5659
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
49 Cross St
Gardner, MA 01440-2213
City
Gardner
State
MA
Zip
01440-2213
Phone Number
978-632-6569

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 Centralmassdentalgroup PC?

The NPI number of Centralmassdentalgroup PC is 1558964957. It was assigned on November 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Centralmassdentalgroup PC?

Centralmassdentalgroup PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Centralmassdentalgroup PC practice?

The practice location is 49 Cross St, Gardner, MA 01440-2213. The office can be reached at 978-632-5659 (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 1558964957 directly on the NPPES registry website.

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