NPI 1710043385 · live from the CMS NPI Registry
Chandler Dental PC
Dentist, Prosthodontics in Worcester, MA. National Provider Identifier 1710043385, active.
NPI record
| NPI | 1710043385 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Prosthodontics 1223P0700X |
| Practice location | 372 Chandler St, Suite 10, Worcester, MA 01602 |
| Practice phone | 508-754-5226 |
| Enumerated | December 28, 2006 |
| Last updated | February 24, 2008 |
| Authorized official | Sir Foo, Treasurer & Secretary |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Prosthodontics primary | 1223P0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.