WORCESTER PEDIATRIC DENTAL GROUP LLC (NPI# 1245402577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245402577 |
| Entity Type | Organization |
| Organization Name | WORCESTER PEDIATRIC DENTAL GROUP LLC |
| Other Organization Name | WORCESTER KIDS' DENTIST |
| Practice Address |
144 Pleasant St Worcester MA 01609-3208 |
| Practice Telephone | 5087549825 |
| Practice Fax Number | 5087549898 |
| Mailing Telephone | 5087549825 |
| Mailing Fax Number | 5087549898 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. CHENGETO M. VERA (MEMBER) |
| Authorized Official Telephone | 5087549825 |
| Authorized Official Credential | DMD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
21437 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Worcester Kids' Dentist | Doing Business As Name - Organization |
| Street Address |
144 PLEASANT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780694836 | Matthew W Panagiotu | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2006-08-09 |
| 1538253596 | Chengeto Mukonoweshuro Vera | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437477395 | Kanchi Kapadia | Dentist | 10 Winthrop St Ste 317, Worcester, MA 01604-4438 | 2010-05-17 |
| 1871652354 | Michelle D Wilkerson | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2006-12-08 |
| 1265540090 | Manouch Darvish | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-08-29 |
| 1780694836 | Matthew W Panagiotu | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2006-08-09 |
| 1407263908 | Worcester Hills Dental PC | Dentist | 290 Park Ave, Worcester, MA 01609-1805 | 2014-07-16 |
| 1588928394 | Anna Ross | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2012-06-26 |
| 1326315862 | Vernon Hill Pediatric Dentistry | Dentist | 10 Winthrop St, #317/318, Worcester, MA 01604-4435 | 2011-11-29 |
| 1003043514 | Lahair & Gallagher Pediatric Dentistry, LLC | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2009-06-11 |
| 1215196704 | Patrick W Mcgary | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2008-06-09 |
| 1487712675 | Drs Darvish & Gallagher PC | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-12-04 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.