Ivory Dental PC
Dentist, General Practice in Southbridge, Massachusetts
1770902090- Practice location
- 176 Main St, Unit #210, Southbridge, MA 01550-2561
- Phone
- 908-955-3699
- Fax
- —
- Last updated
- April 15, 2014
Ivory Dental PC is a healthcare organization based in Southbridge, MA. Ivory Dental PC practices in Southbridge, MA. The NPI Number for Ivory Dental PC is 1770902090 and holds a License No. DN1855451 (MA). The current practice location address for Ivory Dental PC is 176 Main St, Unit #210, Southbridge, MA 01550-2561 and can be reached out via phone at 908-955-3699.
Provider Profile Details
- NPI Number
- 1770902090
- Provider Name
- Ivory Dental PC
- Provider Entity Type
- Organization
- Address
- 176 Main St, Unit #210, Southbridge, MA 01550-2561
- Phone Number
- 908-955-3699
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Sushma Reddy Donthi Reddy, DMD · President · 908-955-3699
- Provider Enumeration Date
- April 15, 2014
- Last Update Date
- April 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 176 Main St
Unit #210
Southbridge, MA 01550-2561 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-2561
- Phone Number
- 908-955-3699
Provider Business Mailing Address Details
- Address
- 176 Main St
Unit #210
Southbridge, MA 01550-2561 - City
- Southbridge
- State
- MA
- Zip
- 01550-2561
License Information
- License Number
- DN1855451
- License State
- MA
- Taxonomy
- 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. | |||
Other Dentist, General Practice providers near Southbridge, MA
View all Dentist, General Practice providers in Southbridge →- A.m. Neidhardt, Dds,pcDentist, General Practice · NPI 1952415721
- Anthony G Dimatteo, DDSDentist, General Practice · NPI 1336297753
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- Dr. Allen J Rubin, DMDDentist, General Practice · NPI 1578766630
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- Dr. Mario A Montoya, DDSDentist, General Practice · NPI 1447398227
Frequently Asked Questions
What is the NPI number of Ivory Dental PC?
The NPI number of Ivory Dental PC is 1770902090. It was assigned on April 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Ivory Dental PC?
Ivory Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1855451.
Where does Ivory Dental PC practice?
The practice location is 176 Main St, Unit #210, Southbridge, MA 01550-2561. The office can be reached at 908-955-3699 (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 1770902090 directly on the NPPES registry website.