Worcester Cosmetic and Restorative Dentistry Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WORCESTER COSMETIC AND RESTORATIVE DENTISTRY GROUP PC

Practice address

1 W Boylston St Ste 203
Worcester, MA 01605-1274

Phone

(603) 533-8501

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brien Hedstrom, DMDNPI 1013368877

Title

President

Phone

(603) 533-8501

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brien Hedstrom, DMD

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1013368877
  NPD Authorized official
• Thomas Lee Hedstrom, D.D.S.

  • General Practice Dentistry
  • Worcester, MA
  • NPI 1609082346
  NPD (past)

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1871249771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LAKE SHORE DR APT 608",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BOYLSTON ST STE 203",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051274",
            "telephone_number": "603-533-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER COSMETIC AND RESTORATIVE DENTISTRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "HEDSTROM",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-533-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worcester Center for Expressive Therapies
• Worcester Collation for People Living With HIV & AIDS
• Worcester Community Doulas LLC
• Worcester Community Midwifery Inc
• Worcester Cosmetic & Restorative Dentistry
• Worcester County Dental PLLC
• Worcester County Orthopedics
• Worcester Cultural Academy Charter Public School
• Worcester Dental Arts PLLC
• Worcester Dental Assoc, P.C.

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.