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NPI 1184850091 · live from the CMS NPI Registry

Central Ma Orthodonitc Associates, PC

Dentist, Orthodontics and Dentofacial Orthopedics in Spencer, MA. National Provider Identifier 1184850091, active.

NPI record

NPI1184850091 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location276 Main St, Spencer, MA 01562
Practice phone508-885-2749
EnumeratedJune 5, 2009
Last updatedJune 5, 2009
Authorized officialLisa Giarrusso, President,Treasurer Cmoa, PC

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X17729 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.