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 |
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Provider Enumeration Date | 2007-04-17 |
Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
Address | 500 W Boylston St |
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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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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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