Penta, Alexandra
Penta, Alexandra is an individual health care provider with primary practice located at 102 Shore Dr Ste 302 , Worcester MA 01605-3154. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Penta, Alexandra can be contacted via phone (508) 854-9994.Contact Information
Primary practice address
102 Shore Dr Ste 302
Worcester MA 01605-3154
Phone: (508) 854-9994
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DS043482 | Pennsylvania |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Pennsylvania | |
Dental Providers / Pediatric Dentistry | 1223P0221X | DN1859765 | Massachusetts |
Profile Details
NPI number | 1629641907 |
---|---|
LBN Legal business name | Penta, Alexandra |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2021 |
Last updated | Jan 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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