Pediatric Dental Group

LBN: Pediatric Dental Group
Pediatric Dental Group is an health care organization with primary practice located at 1 E Main St Ste 104 , Northborough MA 01532-1662. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Pediatric Dental Group can be contacted via phone (508) 473-5437, or through Tavano, Joanne via phone (978) 580-1524.

Contact Information

Primary practice address
1 E Main St Ste 104 Northborough MA 01532-1662
Phone: (508) 473-5437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tavano, Joanne
Phone: (978) 580-1524

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X Massachusetts

Profile Details

NPI number 1447700497
LBN Legal business name Pediatric Dental Group
DBA Doing business as
Authorized official Tavano, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2016
Last updated Sep 13th, 2023 - about 2 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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