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DRS FRED MCCREADY AND JOHN LAVOIE NPI 1174680912


NPI Information

NPI: 1174680912
Provider Name: DRS FRED MCCREADY AND JOHN LAVOIE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
255 PARK AVENUE
SUITE 804
WORCESTER, MA
ZIP 01609
Phone: (508) 757-3466
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DRS FRED MCCREADY AND JOHN LAVOIE is a general practice dentist in Worcester, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DRS FRED MCCREADY AND JOHN LAVOIE NPI is 1174680912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

255 PARK AVENUE
SUITE 804
WORCESTER, MA
ZIP 01609-984
Phone: (508) 757-3466
Fax: (508) 459-5277

The provider's authorized official is Frederick Joseph Mccready .
The authorized official title is Partner Owner and has the following contact phone number (508) 757-3466.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeMA12895MASSACHUSETTSNo
21223G0001XDentistGeneral PracticeMA12898MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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