Chandler Dental Pc

LBN: Chandler Dental Pc
Chandler Dental Pc is an health care organization with primary practice located at 372 Chandler St Suite 10, Worcester MA 01602-3300. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Prosthodontics is the primary health care specialty. Chandler Dental Pc can be contacted via phone (508) 754-5226, or through Foo, Sir Hao via phone (508) 754-5226.

Contact Information

Primary practice address
372 Chandler St Suite 10 Worcester MA 01602-3300
Phone: (508) 754-5226
Fax: (508) 754-5228
Website:
Map and Directions
Authorized official contact:
Name: Foo, Sir Hao D.D.S., M.S.
Phone: (508) 754-5226

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1710043385
LBN Legal business name Chandler Dental Pc
DBA Doing business as
Authorized official Foo, Sir Hao D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Feb 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710043385 NPPES
Massachusetts MEDICAID 9754610

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