Organization Active NPI

Marlborough Dental Specialties, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Worcester, MA
National Provider Identifier
1356933188
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Mar 11, 2026

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL info.mds@dentistryandbraces.com

National Provider Directory

National Provider Directory
Tax ID family
Marlborough Dental Specialties PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.