Anthony J Distefano III DDS PC
Dentist in Worcester, Massachusetts
1780995894- Practice location
- 562 Lincoln St, Worcester, MA 01605-1916
- Phone
- 508-852-0854
- Fax
- 508-853-0364
- Last updated
- June 24, 2010
Anthony J Distefano III DDS PC is a healthcare organization based in Worcester, MA. Anthony J Distefano III DDS PC practices in Worcester, MA. The NPI Number for Anthony J Distefano III DDS PC is 1780995894 and holds a License No. 12966 (MA). The current practice location address for Anthony J Distefano III DDS PC is 562 Lincoln St, Worcester, MA 01605-1916 and can be reached out via phone at 508-852-0854 and via fax at 508-853-0364.
Provider Profile Details
- NPI Number
- 1780995894
- Provider Name
- Anthony J Distefano III DDS PC
- Provider Entity Type
- Organization
- Address
- 562 Lincoln St, Worcester, MA 01605-1916
- Phone Number
- 508-852-0854
- Fax Number
- 508-853-0364
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Anthony James Distefano, DDS · Owner · 508-852-0854
- Provider Enumeration Date
- June 24, 2010
- Last Update Date
- June 24, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 562 Lincoln St
Worcester, MA 01605-1916 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-1916
- Phone Number
- 508-852-0854
- Fax Number
- 508-853-0364
Provider Business Mailing Address Details
- Address
- 562 Lincoln St
Worcester, MA 01605-1916 - City
- Worcester
- State
- MA
- Zip
- 01605-1916
- Phone Number
- 508-852-0854
- Fax Number
- 508-853-0364
License Information
- License Number
- 12966
- License State
- MA
- Taxonomy
- Dentist · 122300000X · 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 Anthony J Distefano III DDS PC?
The NPI number of Anthony J Distefano III DDS PC is 1780995894. It was assigned on June 24, 2010 and is currently active in the NPPES registry.
What is the specialty of Anthony J Distefano III DDS PC?
Anthony J Distefano III DDS PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 12966.
Where does Anthony J Distefano III DDS PC practice?
The practice location is 562 Lincoln St, Worcester, MA 01605-1916. The office can be reached at 508-852-0854 (phone) or 508-853-0364 (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 1780995894 directly on the NPPES registry website.