Active NPIOrganization

Pediatric Dental Center Of Mansfield

Clinic/Center, Dental in Mansfield, Massachusetts

NPI Number1982876942
Practice location
905B S Main St, Mansfield, MA 02048-3154
Fax
508-337-3317
Last updated
March 31, 2008

Pediatric Dental Center Of Mansfield is a healthcare organization based in Mansfield, MA. Pediatric Dental Center Of Mansfield practices in Mansfield, MA. The NPI Number for Pediatric Dental Center Of Mansfield is 1982876942 and holds a License No. 18512 (MA). The current practice location address for Pediatric Dental Center Of Mansfield is 905B S Main St, Mansfield, MA 02048-3154 and can be reached out via phone at 508-337-3307 and via fax at 508-337-3317.

Provider Profile Details

NPI Number
1982876942
Provider Name
Pediatric Dental Center Of Mansfield
Provider Entity Type
Organization
Address
905B S Main St, Mansfield, MA 02048-3154
Phone Number
508-337-3307
Fax Number
508-337-3317
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Robert J. Moreau, DMD · Dentist · 508-337-3307
Provider Enumeration Date
March 31, 2008
Last Update Date
March 31, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
905B S Main St
Mansfield, MA 02048-3154
Zip
02048-3154
Phone Number
508-337-3307
Fax Number
508-337-3317
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
905B S Main St
Mansfield, MA 02048-3154
City
Mansfield
State
MA
Zip
02048-3154
Phone Number
508-337-3307
Fax Number
508-337-3317

License Information

License Number
18512
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Pediatric Dental Center Of Mansfield?

The NPI number of Pediatric Dental Center Of Mansfield is 1982876942. It was assigned on March 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Pediatric Dental Center Of Mansfield?

Pediatric Dental Center Of Mansfield is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 18512.

Where does Pediatric Dental Center Of Mansfield practice?

The practice location is 905B S Main St, Mansfield, MA 02048-3154. The office can be reached at 508-337-3307 (phone) or 508-337-3317 (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 1982876942 directly on the NPPES registry website.

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