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INFANTE & GOMEZ PC NPI 1396025441


NPI Information

NPI: 1396025441
Provider Name: INFANTE & GOMEZ PC

Doing Business As: GLAD SPECIALIZED FAMILY DENTISTRY

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
29 HUDSON RD
3220
SUDBURY, MA
ZIP 01776
Phone: (978) 443-4545
Get Directions

INFANTE & GOMEZ PC is a prosthodontics dentist in Sudbury, 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. INFANTE & GOMEZ PC NPI is 1396025441. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Glad Specialized Family Dentistry.

The provider's business location address is:

29 HUDSON RD
3220
SUDBURY, MA
ZIP 01776-747
Phone: (978) 443-4545

The provider's authorized official is Gustavo J Infante .
The authorized official title is P and has the following contact phone number (617) 645-3286.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 4/13/2017.


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
11223P0221XDentistPediatric DentistryDN21546MASSACHUSETTSNo
21223P0700XDentistProsthodonticsDN21117MASSACHUSETTSYes

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
11942414263MEDICAIDMASSACHUSETTS
21124249826MEDICAIDMASSACHUSETTS

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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