Organization Active NPI

Worcester County Dental PLLC

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1073355640
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WORCESTER COUNTY DENTAL PLLC
Practice address
87 June St
Worcester, MA 01602-2948
Phone
(508) 757-0591
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Orlando
Title
Manager
Phone
(508) 813-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

87 June St
Worcester, MA 01602-2948

Mailing address

87 June St
Worcester, MA 01602-2948
Phone (508) 757-0591

National Provider Directory

National Provider Directory

Locations

87 June St
Worcester, MA 01602
Phone (508) 757-0591

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1073355640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 JUNE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022948",
            "telephone_number": "508-757-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 JUNE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022948",
            "telephone_number": "508-757-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER COUNTY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-813-7011"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.