NPIMap

Organization Active NPI

Pediatric Dental Group

  • Point of Service
  • Northborough, MA
National Provider Identifier
1447700497
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
PEDIATRIC DENTAL GROUP
Practice address
1 E Main St Ste 104
Northborough, MA 01532-1662
Phone
(508) 473-5437
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Todd Pachello
Title
President Chief Revenue Officer
Phone
(720) 475-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MA Primary

Addresses

Primary practice location

1 E Main St Ste 104
Northborough, MA 01532-1662

Mailing address

5 Mount Royal Ave
Suite 300
Marlborough, MA 01752-1981
Phone (508) 872-3325

National Provider Directory

National Provider Directory
Tax ID family
The Pediatric Dental Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1 E Main St
Ste 104
Northborough, MA 01532
Phone (508) 473-5437

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1447700497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE",
            "address_2": "SUITE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521981",
            "telephone_number": "508-872-3325",
            "fax_number": "508-872-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST STE 104",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321662",
            "telephone_number": "508-473-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "PACHELLO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "720-475-6482"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.