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64 HIGHLAND DENTAL NPI 1508195140


NPI Information

NPI: 1508195140
Provider Name: 64 HIGHLAND DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
64 HIGHLAND STREET
WORCESTER, MA
ZIP 01609
Phone: (508) 926-8660
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64 HIGHLAND DENTAL 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. 64 HIGHLAND DENTAL NPI is 1508195140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

64 HIGHLAND STREET
WORCESTER, MA
ZIP 01609
Phone: (508) 926-8660
Fax: (508) 426-8667

The provider's authorized official is John Miller .
The authorized official title is Owner and has the following contact phone number (508) 926-8660.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 5/11/2015.


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 Practice20028MASSACHUSETTSNo
21223E0200XDentistEndodonticsNo
31223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
4124Q00000XDental HygienistNo
51223G0001XDentistGeneral PracticeYes

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

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.