Glad Specialized Family Dentistry

LBN: Infante & Gomez Pc
Glad Specialized Family Dentistry is an health care organization with primary practice located at 29 Hudson Rd 3220, Sudbury MA 01776-1747. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is the primary health care specialty. Infante & Gomez Pc can be contacted via phone (978) 443-4545, or through Infante, Gustavo J via phone (617) 645-3286.

Contact Information

Primary practice address
29 Hudson Rd 3220 Sudbury MA 01776-1747
Phone: (978) 443-4545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Infante, Gustavo J Doctor of Dental Medicine (DMD)
Phone: (617) 645-3286

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN21546 Massachusetts
Dental Providers / Prosthodontics 1223P0700X DN21117 Massachusetts

Profile Details

NPI number 1396025441
LBN Legal business name Infante & Gomez Pc
DBA Doing business as Glad Specialized Family Dentistry
Authorized official Infante, Gustavo J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2011
Last updated Apr 13th, 2017 - about 8 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 1396025441 NPPES
Massachusetts MEDICAID 1124249826
Massachusetts MEDICAID 1942414263

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