Blackstone Valley Dental Associates, LLC
Dentist, General Practice in Blackstone, Massachusetts
1962575571- Practice location
- 12 Main St, Blackstone, MA 01504-2202
- Phone
- 508-883-1050
- Fax
- 508-883-0911
- Last updated
- July 22, 2008
Blackstone Valley Dental Associates, LLC is a healthcare organization based in Blackstone, MA. Blackstone Valley Dental Associates, LLC practices in Blackstone, MA. The NPI Number for Blackstone Valley Dental Associates, LLC is 1962575571 and holds a License No. 19827 (MA). The current practice location address for Blackstone Valley Dental Associates, LLC is 12 Main St, Blackstone, MA 01504-2202 and can be reached out via phone at 508-883-1050 and via fax at 508-883-0911.
Provider Profile Details
- NPI Number
- 1962575571
- Provider Name
- Blackstone Valley Dental Associates, LLC
- Provider Entity Type
- Organization
- Address
- 12 Main St, Blackstone, MA 01504-2202
- Phone Number
- 508-883-1050
- Fax Number
- 508-883-0911
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Todd B Harris, DMD · Manager · 508-883-1050
- Other Names
- Blackstone Valley Dental Associates, P.c. (Former Legal Business Name)
- Provider Enumeration Date
- November 15, 2006
- Last Update Date
- July 22, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Main St
Blackstone, MA 01504-2202 - City
- Blackstone
- State
- Massachusetts
- Zip
- 01504-2202
- Phone Number
- 508-883-1050
- Fax Number
- 508-883-0911
Provider Business Mailing Address Details
- Address
- 12 Main St
Blackstone, MA 01504-2202 - City
- Blackstone
- State
- MA
- Zip
- 01504-2202
- Phone Number
- 508-883-1050
- Fax Number
- 508-883-0911
License Information
- License Number (1)
- 19827
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 16536
- License State (2)
- MA
- Taxonomy (2)
- 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 Blackstone Valley Dental Associates, LLC?
The NPI number of Blackstone Valley Dental Associates, LLC is 1962575571. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Blackstone Valley Dental Associates, LLC?
Blackstone Valley Dental Associates, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19827.
Where does Blackstone Valley Dental Associates, LLC practice?
The practice location is 12 Main St, Blackstone, MA 01504-2202. The office can be reached at 508-883-1050 (phone) or 508-883-0911 (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 1962575571 directly on the NPPES registry website.