GEORGETOWN DENTAL P.C. NPI 1184140139

NPI Information

  • NPI: 1184140139
  • Provider Name: GEORGETOWN DENTAL, P.C.
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • CLIA Number: 22D2022732
  • Address: 25 E MAIN ST STE 3
    GEORGETOWN, MA
    ZIP 01833
  • Phone: (978) 352-6467

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NPI Details

GEORGETOWN DENTAL, P.C. is a prosthodontics dentist in Georgetown, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. GEORGETOWN DENTAL, P.C. NPI is 1184140139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 E MAIN ST STE 3
GEORGETOWN, MA
ZIP 01833-007
Phone: (978) 352-6467

The provider's authorized official is Chan Wook Cheong .
The authorized official title is President and has the following contact phone number (978) 352-6467.

The CLIA number assigned to this NPI record is 22D2022732 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 7/21/2022.

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
11223P0700XDentistProsthodonticsDN1855564MASSACHUSETTSYes

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: 11/21/2025

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