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PREMIER FAMILY DENTAL GROUP P.C. NPI 1598876625


NPI Information

NPI: 1598876625
Provider Name: PREMIER FAMILY DENTAL GROUP, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
610 W BOYLSTON ST
WORCESTER, MA
ZIP 01606
Phone: (508) 853-3394
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PREMIER FAMILY DENTAL GROUP, P.C. 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. PREMIER FAMILY DENTAL GROUP, P.C. NPI is 1598876625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 W BOYLSTON ST
WORCESTER, MA
ZIP 01606-030
Phone: (508) 853-3394
Fax: (508) 853-6842

The provider's authorized official is Galina Bamford .
The authorized official title is Owner and has the following contact phone number (508) 853-3394.

The enumeration date for this NPI number is 8/31/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice20013MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19719008MEDICAIDMASSACHUSETTS

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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