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DENTAL HEALTH CENTER NPI 1124152988


NPI Information

NPI: 1124152988
Provider Name: DENTAL HEALTH CENTER

Doing Business As: ORAL HEATLH CENTER

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
162 CORDAVILLE RD
SUITE 175
SOUTHBOROUGH, MA
ZIP 01772
Phone: (508) 624-0202
Get Directions

DENTAL HEALTH CENTER is an endodontics dentist in Southborough, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DENTAL HEALTH CENTER NPI is 1124152988. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oral Heatlh Center.

The provider's business location address is:

162 CORDAVILLE RD
SUITE 175
SOUTHBOROUGH, MA
ZIP 01772-838
Phone: (508) 624-0202
Fax: (508) 624-4949

The provider's authorized official is Peter A. Blanchard .
The authorized official title is President and has the following contact phone number (508) 624-0202.

The enumeration date for this NPI number is 3/15/2007 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
11223E0200XDentistEndodonticsYes
21223G0001XDentistGeneral PracticeX
31223P0221XDentistPediatric DentistryX
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsX
5124Q00000XDental HygienistX

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
10298883MEDICAIDMASSACHUSETTS

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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