Active NPI
Dental Health Center
- Orthodontics and Dentofacial Orthopedics Dentistry
- Southborough, MA
National Provider Identifier
1124152988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DENTAL HEALTH CENTER
- Doing business as
- Oral Heatlh Center
- Practice address
- 162 Cordaville Rd
Suite 175
Southborough, MA 01772-1838 - Phone
- (508) 624-0202
- Fax
- (508) 624-4949
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter A. Blanchard, DDS,MBA
- Title
- President
- Phone
- (508) 624-0202
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary | ||
| Dental Hygienist | 124Q00000X |
Addresses
Primary practice location
162 Cordaville Rd
Suite 175
Southborough, MA 01772-1838
Mailing address
162 Cordaville Rd
Suite 175
Southborough, MA 01772-1838
Phone (508) 624-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298883 | Medicaid | MA |
Other names 1
- Oral Heatlh Center
National Provider Directory
National Provider DirectoryLocations
162 Cordaville Rd
Ste 175
Southborough, MA 01772
Phone (508) 624-0202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Southborough, MA
- NPI 1467584235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124152988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 CORDAVILLE RD",
"address_2": "SUITE 175",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721838",
"telephone_number": "508-624-0202",
"fax_number": "508-624-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 CORDAVILLE RD",
"address_2": "SUITE 175",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721838",
"telephone_number": "508-624-0202",
"fax_number": "508-624-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BLANCHARD",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-624-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS,MBA"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298883",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oral Heatlh Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.