NPIMap

Organization Active NPI

Winchendon Dental, PC

  • General Practice Dentistry
  • Winchendon, MA
National Provider Identifier
1588328926
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WINCHENDON DENTAL, PC
Doing business as
Winchendon Family Dental
Practice address
47 Pleasant St
Winchendon, MA 01475-1618
Phone
(978) 407-2510
Fax
(978) 297-2650
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Jennifer Warren
Title
General Manager
Phone
(508) 466-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

47 Pleasant St
Winchendon, MA 01475-1618

Mailing address

10010H Shops Way
Northborough, MA 01532-4147
Phone (508) 466-2223

Other names 1

  • Winchendon Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10010H Shops Way
Northborough, MA 01532

47 Pleasant St
Winchendon, MA 01475
Phone (978) 297-1050

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1588328926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010H SHOPS WAY",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015324147",
            "telephone_number": "508-466-2223",
            "fax_number": "508-466-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLEASANT ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751618",
            "telephone_number": "978-407-2510",
            "fax_number": "978-297-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHENDON DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "508-466-2223"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchendon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.