SOUTHBRIDGE PLACE DENTAL P.C. NPI 1861960270

NPI Information

NPI: 1861960270
Provider Name: SOUTHBRIDGE PLACE DENTAL, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
544 SOUTHBRIDGE ST
WORCESTER, MA
ZIP 01610
Phone: (774) 243-8592
Get Directions

SOUTHBRIDGE PLACE DENTAL, 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. SOUTHBRIDGE PLACE DENTAL, P.C. NPI is 1861960270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

544 SOUTHBRIDGE ST
WORCESTER, MA
ZIP 01610-716
Phone: (774) 243-8592

The provider's authorized official is Dale Mayfield .
The authorized official title is President and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 11/5/2018 and was last updated on 11/5/2018.

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	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	No
2	1223P0221X	Dentist	Pediatric Dentistry	No
3	1223P0300X	Dentist	Periodontics	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
5	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No
6	1223G0001X	Dentist	General Practice	Yes

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

NPI Synchronization or Removal

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