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Alexandra Penta, DMD
Pediatric Dentist in Worcester, Massachusetts
NPI 1629641907

Alexandra Penta is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Alexandra Penta practices in Worcester, MA and has the professional credentials of DMD. The NPI Number for Alexandra Penta is 1629641907 and holds a License No. DS043482 (Massachusetts).

The current practice location address for Alexandra Penta is 102 Shore Dr Ste 302, Worcester, MA and can be reached out via phone at 508-854-9994.

Location: 102 Shore Dr Ste 302, Worcester, MA, 02210-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629641907
Provider Name
Alexandra Penta
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
102 Shore Dr Ste 302, Worcester, MA, 02210-2818
Phone Number
508-854-9994
Fax Number
Provider Enumeration Date
07/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Shore Dr Ste 302
City
Worcester
State
Massachusetts
Zip
01605-3154
Phone Number
508-854-9994
Fax Number
person
Provider Business Mailing Address Details
Address
102 Shore Dr Ste 302
City
Worcester
State
Massachusetts
Zip
01605-3154
Phone Number
508-854-9994
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1859765 (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
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DS043482 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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