Central Ma Orthodontic Associates, P.C.

Organization Active NPI Dentist · Auburn, MA

NPI 1649644667 · NPPES record last updated Nov 16, 2015

Key facts

NPI
1649644667
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
DN17729 (MA)
Legal business name
CENTRAL MA ORTHODONTIC ASSOCIATES, P.C.
Practice address
325 Southbridge St
Auburn, MA 01501-2595
Phone
(508) 823-5776
Fax
(508) 832-3066
NPI assigned
Nov 16, 2015
Organization subpart
No

Authorized official

Name
Dr. Lisa Marie Giarrusso, DMD
Title
Orthodontist, Treasurer, Owner
Phone
(508) 832-5776

Corporate family (same tax ID) 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Central Ma Orthodontic Associates PC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X DN17729 MA Yes

Addresses

Primary practice location

325 Southbridge St
Auburn, MA 01501-2595

Mailing address

325 Southbridge Street
Auburn, MA 01501-2585
Phone (508) 823-5776

Other providers in Auburn, MA

All providers in Auburn, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.