NPI 1144136227 · live from the CMS NPI Registry
Broadmeadow Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, MA. National Provider Identifier 1144136227, active.
NPI record
| NPI | 1144136227 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 100 Mlk Jr Blvd Ste 500, Worcester, MA 01608 |
| Practice phone | 508-841-3908 |
| Enumerated | August 20, 2026 |
| Last updated | August 20, 2026 |
| Authorized official | Benjamin Roth, President |
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.