WHITWORTH DENTAL ASSOC NPI 1578773925

NPI Information

  • NPI: 1578773925
  • Provider Name: WHITWORTH DENTAL ASSOC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 542 RIVER ST
    MATTAPAN, MA
    ZIP 02126
  • Phone: (617) 298-1955

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NPI Details

WHITWORTH DENTAL ASSOC is a general practice dentist in Mattapan, 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. WHITWORTH DENTAL ASSOC NPI is 1578773925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

542 RIVER ST
MATTAPAN, MA
ZIP 02126-014
Phone: (617) 298-1955
Fax: (617) 296-6004

The provider's authorized official is E Leo Whitworth .
The authorized official title is Pres and has the following contact phone number (617) 298-1955.

The enumeration date for this NPI number is 5/23/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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
19761829MEDICAIDMASSACHUSETTS

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: 3/30/2025

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