Webster Square Dental

LBN: Webster Square Dental
Webster Square Dental is an health care organization with primary practice located at 17 Young St , Worcester MA 01603-1420. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Webster Square Dental can be contacted via phone (508) 753-6777, or through Lam, Kenny via phone (508) 753-6777.

Contact Information

Primary practice address
17 Young St Worcester MA 01603-1420
Phone: (508) 753-6777
Fax: (508) 753-0206
Website:
Map and Directions
Authorized official contact:
Name: Lam, Kenny Doctor of Dental Medicine (DMD)
Phone: (508) 753-6777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19810 Massachusetts

Profile Details

NPI number 1629116355
LBN Legal business name Webster Square Dental
DBA Doing business as
Authorized official Lam, Kenny Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1629116355 NPPES
Massachusetts MEDICAID 9712470
Massachusetts MEDICAID 0202991
Massachusetts MEDICAID 0208281
Massachusetts MEDICAID 0282073

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