NPI 1003982786 · live from the CMS NPI Registry
Central Ma Orthodontic Associates PC
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, MA. National Provider Identifier 1003982786, active.
NPI record
| NPI | 1003982786 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 100 Mlk Jr. Boulevard, Suite 500, Worcester, MA 01608 |
| Practice phone | 508-753-2489 |
| Mailing address | 100 Mlk Jr Blvd, Suite 500, Worcester, MA 01608 |
| Enumerated | November 27, 2006 |
| Last updated | November 13, 2015 |
| Authorized official | Lisa Giarrusso, President Treasure Cmoa PC Orthodon |
| Other names | Cmoa PC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.