Southbridge Place Dental, P.c.
Dentist, General Practice in Worcester, Massachusetts
1861960270- Practice location
- 544 Southbridge St, Worcester, MA 01610-1716
- Phone
- 774-243-8592
- Fax
- —
- Last updated
- November 5, 2018
Southbridge Place Dental, P.c. is a healthcare organization based in Worcester, MA. Southbridge Place Dental, P.c. practices in Worcester, MA. The NPI Number for Southbridge Place Dental, P.c. is 1861960270. The current practice location address for Southbridge Place Dental, P.c. is 544 Southbridge St, Worcester, MA 01610-1716 and can be reached out via phone at 774-243-8592.
Provider Profile Details
- NPI Number
- 1861960270
- Provider Name
- Southbridge Place Dental, P.c.
- Provider Entity Type
- Organization
- Address
- 544 Southbridge St, Worcester, MA 01610-1716
- Phone Number
- 774-243-8592
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Dale Mayfield · President · 770-916-5036
- Other Names
- Cortland Dental Group (Doing Business As)
- Provider Enumeration Date
- November 5, 2018
- Last Update Date
- November 5, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 544 Southbridge St
Worcester, MA 01610-1716 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-1716
- Phone Number
- 774-243-8592
Provider Business Mailing Address Details
- Address
- 1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402 - City
- Marietta
- State
- GA
- Zip
- 30067-6402
License Information
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
- Taxonomy (3)
- Dentist, Periodontics · 1223P0300X
- Taxonomy (4)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (5)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (6)
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Southbridge Place Dental, P.c.?
The NPI number of Southbridge Place Dental, P.c. is 1861960270. It was assigned on November 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Southbridge Place Dental, P.c.?
Southbridge Place Dental, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Southbridge Place Dental, P.c. practice?
The practice location is 544 Southbridge St, Worcester, MA 01610-1716. The office can be reached at 774-243-8592 (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 1861960270 directly on the NPPES registry website.