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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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