ELITE DENTAL GROUP PC NPI 1043645336

NPI Information

NPI: 1043645336
Provider Name: ELITE DENTAL GROUP PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
523 FOUNDRY ST
NORTH EASTON, MA
ZIP 02356
Phone: (508) 238-4265
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ELITE DENTAL GROUP PC is a dental clinic center in North Easton, MA. ELITE DENTAL GROUP PC NPI is 1043645336. The provider is registered as an organization entity type.

The provider's business location address is:

523 FOUNDRY ST
NORTH EASTON, MA
ZIP 02356-736
Phone: (508) 238-4265
Fax: (508) 230-2451

The provider's authorized official is Sathish L Gobichettypalayam .
The authorized official title is President and has the following contact phone number (617) 980-4734.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 9/5/2013.

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
1	261QD0000X	Clinic/Center	Dental	22099	MASSACHUSETTS	Yes

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
1	22099	OTHER	MASSACHUSETTS	MA DENTAL LIC

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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