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TRIDENT DENTAL CARE PC NPI 1508268418


NPI Information

NPI: 1508268418
Provider Name: TRIDENT DENTAL CARE PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16 PARK AVE
WORCESTER, MA
ZIP 01605
Phone: (508) 556-0609
Get Directions

TRIDENT DENTAL CARE PC 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. TRIDENT DENTAL CARE PC NPI is 1508268418. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16 PARK AVE
WORCESTER, MA
ZIP 01605-911
Phone: (508) 556-0609

The provider's authorized official is Vinay Battula .
The authorized official title is Dentist and has the following contact phone number (508) 556-0609.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.


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 PracticeDN1855826MASSACHUSETTSYes

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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