Worcester Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

WORCESTER ENDODONTICS

Practice address

255 Park Ave
Suite 303
Worcester, MA 01609-1953

Phone

(508) 755-3636

Fax

(508) 791-7245

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Jay Marlin, DMD

Title

Owner

Phone

(508) 755-3636

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578780482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 303",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-755-3636",
            "fax_number": "508-791-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 303",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-755-3636",
            "fax_number": "508-791-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-755-3636",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X11269",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "111580",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Worcester Dental Smiles
• Worcester Dentist Group PC
• Worcester Dentistry and Braces PC
• Worcester Derm - Roberts LLC
• Worcester Dermatology Associates, P.C.
• Worcester Endodontics, PLLC
• Worcester Eye Consultants, PC
• Worcester Family Chiropractic, PLLC
• Worcester Family Dental PC
• Worcester Family Pharmacy, Inc.

• Endodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.