Class One Orthodontic Asso Llc in Worcester - Orthodontics And Dentofacial Orthopedics
Class One Orthodontic Asso Llc - NPI 1407908213
Class One Orthodontic Asso Llc is a Orthodontics And Dentofacial Orthopedics in Worcester, Massachusetts. Class One Orthodontic Asso Llc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Class One Orthodontic Asso Llc is 1407908213. The last update date is 2020-08-22.
Class One Orthodontic Asso Llc's current location address is 365 Burncoat St, Worcester, Massachusetts. You can contact this provider via phone number 5088534003 and fax number 5088548305. The mailing address for Class One Orthodontic Asso Llc is 365 Burncoat St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Class One Orthodontic Asso Llc |
|---|---|
| Address | 365 Burncoat St, Worcester, Massachusetts |
| Phone Number | 5088534003 |
| Fax Number | 5088548305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fadiani Faeze |
| Credentials | DMD MS |
| Telephone Number | 5088534003 |
NPI Number Detail
| NPI Number | 1407908213 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 365 Burncoat St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 1606 |
| Phone Number | 5088534003 |
| Fax Number | 5088548305 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 20717 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260398 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Class One Orthodontic Asso Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Class One Orthodontic Asso Llc has been assigned the NPI (National Provider Identifier) 1407908213. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Class One Orthodontic Asso Llc?
The Class One Orthodontic Asso Llc is physically situated at 365 Burncoat St, in the city of Worcester, state of MA, with the postal code 1606.
What is Class One Orthodontic Asso Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Class One Orthodontic Asso Llc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407908213 to Class One Orthodontic Asso Llc?
The Centers for Medicare & Medicaid Services originally issued the 1407908213 to Class One Orthodontic Asso Llc on 2007-01-18.
When was the information regarding Class One Orthodontic Asso Llc most recently updated?
The details pertaining to the Class One Orthodontic Asso Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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