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PROFESSIONAL DENTAL ALLAINCE OF MASSACHUSETTS PLLC NPI 1245878305


NPI Information

NPI: 1245878305
Provider Name: PROFESSIONAL DENTAL ALLAINCE OF MASSACHUSETTS PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
17 MAIN ST
BOYLSTON, MA
ZIP 01505
Phone: (508) 869-6388
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PROFESSIONAL DENTAL ALLAINCE OF MASSACHUSETTS PLLC is a general practice dentist in Boylston, 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. PROFESSIONAL DENTAL ALLAINCE OF MASSACHUSETTS PLLC NPI is 1245878305. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17 MAIN ST
BOYLSTON, MA
ZIP 01505-948
Phone: (508) 869-6388

The provider's authorized official is Andrew Matta .
The authorized official title is Owner and has the following contact phone number (724) 698-2500.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 12/19/2019.


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 PracticeYes

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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