Straight Smiles Of Worcester

LBN: Worcester Smiles Youth Dentistry, Llc
Straight Smiles Of Worcester is an health care organization with primary practice located at 388 Park Ave , Worcester MA 01610-1025. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Worcester Smiles Youth Dentistry, Llc can be contacted via phone (508) 798-6565, or through Stump, Jenell via phone (615) 750-0343.

Contact Information

Primary practice address
388 Park Ave Worcester MA 01610-1025
Phone: (508) 798-6565
Fax: (508) 798-6687
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (615) 750-0343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1487943635
LBN Legal business name Worcester Smiles Youth Dentistry, Llc
DBA Doing business as Straight Smiles Of Worcester
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 28th, 2011
Last updated Jul 9th, 2014 - about 10 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 1487943635 NPPES
Massachusetts MEDICAID 110088462A

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