Organization Active NPI

Worcester Dental Assoc, P.C.

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1558655159
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14291 Issued in MA
Legal business name
WORCESTER DENTAL ASSOC, P.C.
Practice address
86 Pleasant St
Worcester, MA 01609-3204
Phone
(508) 798-0627
Fax
(508) 753-0665
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Thomas F Unger, DDS
Title
Director
Phone
(508) 798-0627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14291 MA Primary

Addresses

Primary practice location

86 Pleasant St
Worcester, MA 01609-3204

Mailing address

86 Pleasant St
Worcester, MA 01609-3204
Phone (508) 798-0627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1558655159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093204",
            "telephone_number": "508-798-0627",
            "fax_number": "508-753-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093204",
            "telephone_number": "508-798-0627",
            "fax_number": "508-753-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER DENTAL ASSOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-798-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14291",
            "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 1, 2011; 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.