Commonwealth Periodontics

LBN: Commonwealth Periodontics
Commonwealth Periodontics is an health care organization with primary practice located at 48 Elm St , Worcester MA 01609-2541. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Commonwealth Periodontics can be contacted via phone (150) 875-4122, or through Depatie, Susan Marie via phone (508) 754-1122.

Contact Information

Primary practice address
48 Elm St Worcester MA 01609-2541
Phone: (150) 875-4122
Fax: (508) 754-9378
Website:
Map and Directions
Authorized official contact:
Name: Depatie, Susan Marie
Phone: (508) 754-1122

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 20952 Massachusetts

Profile Details

NPI number 1023425808
LBN Legal business name Commonwealth Periodontics
DBA Doing business as
Authorized official Depatie, Susan Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2014
Last updated Jul 14th, 2014 - about 10 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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