Greendale Dental

LBN: Greendale Dental
Greendale Dental is an health care organization with primary practice located at 500 W Boylston St , Worcester MA 01606-2058. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Greendale Dental can be contacted via phone (508) 852-6616, or through Grolman, Kerry Mark via phone (508) 852-6616.

Contact Information

Primary practice address
500 W Boylston St Worcester MA 01606-2058
Phone: (508) 852-6616
Fax: (508) 854-1037
Website:
Map and Directions
Authorized official contact:
Name: Grolman, Kerry Mark Doctor of Dental Surgery (DDS)
Phone: (508) 852-6616

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16451 Massachusetts

Profile Details

NPI number 1730305228
LBN Legal business name Greendale Dental
DBA Doing business as
Authorized official Grolman, Kerry Mark Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Feb 7th, 2012 - about 12 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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