Provider Type Icon

LEICESTER DENTAL ASSOCIATES NPI 1336171115


NPI Information

NPI: 1336171115
Provider Name: LEICESTER DENTAL ASSOCIATES

Former Legal Business Name: JOHN J MILLETTE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
119 S MAIN ST
LEICESTER, MA
ZIP 01524
Phone: (508) 892-4882
Get Directions

LEICESTER DENTAL ASSOCIATES is a general practice dentist in Leicester, 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. LEICESTER DENTAL ASSOCIATES NPI is 1336171115. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is John J Millette.

The provider's business location address is:

119 S MAIN ST
LEICESTER, MA
ZIP 01524-403
Phone: (508) 892-4882
Fax: (508) 892-4279

The provider's authorized official is John J Millette .
The authorized official title is Owner and has the following contact phone number (508) 892-4882.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice17984MASSACHUSETTSYes
21223G0001XDentistGeneral Practice96710MASSACHUSETTSX
31223P0300XDentistPeriodontics20602MASSACHUSETTSX
41223S0112XDentistOral and Maxillofacial Surgery19388MASSACHUSETTSX
51223X0400XDentistOrthodontics and Dentofacial Orthopedics17965MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1X11875OTHERMASSACHUSETTSBCBS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.