Southbridge Place Dental, P.C.

LBN: Southbridge Place Dental, P.C.
Southbridge Place Dental, P.C. is an health care organization with primary practice located at 544 Southbridge St , Worcester MA 01610-1716. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Southbridge Place Dental, P.C. can be contacted via phone (774) 243-8592, or through Mayfield, Dale via phone (770) 916-5036.

Contact Information

Primary practice address
544 Southbridge St Worcester MA 01610-1716
Phone: (774) 243-8592
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale
Phone: (770) 916-5036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1861960270
LBN Legal business name Southbridge Place Dental, P.C.
DBA Doing business as
Authorized official Mayfield, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2018
Last updated Nov 5th, 2018 - about 6 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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