UNIVERSITY DENTAL GROUP PC NPI 1639261894

NPI Information

NPI: 1639261894
Provider Name: UNIVERSITY DENTAL GROUP PC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Former Legal Business Name: BUONOMO CANDELA MERCADANTE SAVAGE & URSOLEO PC
Address: 330 PLANTATION STREET
WORCESTER, MA
ZIP 01604
Phone: (508) 753-1911

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NPI Details

UNIVERSITY DENTAL GROUP PC is a general practice dentist in Worcester, 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. UNIVERSITY DENTAL GROUP PC NPI is 1639261894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Buonomo Candela Mercadante Savage & Ursoleo Pc.

The provider's business location address is:

330 PLANTATION STREET
WORCESTER, MA
ZIP 01604
Phone: (508) 753-1911
Fax: (508) 753-1837

The provider's authorized official is John Paul Bisceglia .
The authorized official title is President and has the following contact phone number (508) 753-1911.

The enumeration date for this NPI number is 9/28/2006 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
1	1223G0001X	Dentist	General Practice			Yes

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
1	77236	OTHER	MASSACHUSETTS	DELTA DENTAL
2	X10254	OTHER	MASSACHUSETTS	B CROSS BLUE SHIELD
3	00236	OTHER	MASSACHUSETTS	DELTA DENTAL

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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