Greendale Dental in Worcester - General Practice

Greendale Dental - NPI 1730305228

Greendale Dental is a General Practice in Worcester, Massachusetts. Greendale Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Greendale Dental is 1730305228. The last update date is 2012-02-07.

Greendale Dental's current location address is 500 W Boylston St, Worcester, Massachusetts. You can contact this provider via phone number 5088526616 and fax number 5088541037. The mailing address for Greendale Dental is 500 W Boylston St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greendale Dental
Address 500 W Boylston St, Worcester, Massachusetts
Phone Number 5088526616
Fax Number 5088541037
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Grolman Mark Kerry
Credentials D.D.S.
Telephone Number 5088526616

NPI Number Detail

NPI Number 1730305228
Provider Enumeration Date 2007-04-17
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address 500 W Boylston St
City Worcester
State Massachusetts (MA)
Post Code 16062058
Phone Number 5088526616
Fax Number 5088541037

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 16451
Definition:
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.

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FAQs about Greendale Dental

What is the unique identifier code issued to Greendale Dental by the Centers for Medicare & Medicaid Services?

The Greendale Dental has been assigned the NPI (National Provider Identifier) 1730305228. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Greendale Dental is geographically located?

The Greendale Dental is physically situated at the following location: 500 W Boylston St, Worcester, MA, 16062058.

What is Greendale Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Greendale Dental is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1730305228 assigned to Greendale Dental?

The Greendale Dental was issued its 1730305228 on 2007-04-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Greendale Dental most recently updated or revised?

The information pertaining to Greendale Dental, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-07.

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