Active NPI
Marlborough Dental Specialties, PC
- Oral and Maxillofacial Surgery (Dentist)
- Worcester, MA
National Provider Identifier
1356933188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- MARLBOROUGH DENTAL SPECIALTIES, PC
- Practice address
- 544 Southbridge St
Worcester, MA 01610-1757 - Phone
- (774) 374-2327
- Fax
- (774) 374-2328
- NPI assigned
- Feb 3, 2021
- 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
- Ms. Todd Pachello
- Title
- Chief Revenue Officer
- Phone
- (720) 475-6482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
544 Southbridge St
Worcester, MA 01610-1757
Mailing address
5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 872-3072
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info.mds@dentistryandbraces.com |
National Provider Directory
National Provider Directory- Tax ID family
- Marlborough Dental Specialties PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Marlborough, MA
- NPI 1841766433
Locations
388 Park Ave
Worcester, MA 01610
Phone (508) 798-6565
544 Southbridge St
Worcester, MA 01610
Phone (508) 492-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1356933188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOUNT ROYAL AVE STE 300",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521900",
"telephone_number": "508-872-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 SOUTHBRIDGE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101757",
"telephone_number": "774-374-2327",
"fax_number": "774-374-2328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLBOROUGH DENTAL SPECIALTIES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "PACHELLO",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
"authorized_official_telephone_number": "720-475-6482",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info.mds@dentistryandbraces.com",
"affiliation": "N",
"address_1": "544 Southbridge St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016101757",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.