SIMPLY DENTAL OF WORCESTER SOUTH PLLC (NPI# 1508333915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508333915 |
| Entity Type | Organization |
| Organization Name | SIMPLY DENTAL OF WORCESTER SOUTH PLLC |
| Practice Address |
10 Winthrop St Ste 2 Worcester MA 01604-4445 |
| Mailing Address |
87 Elm St Ste 302 Hopkinton MA 01748-1638 |
| Practice Telephone | 5085898270 |
| Practice Fax Number | 5084352690 |
| Mailing Telephone | 5085898270 |
| Mailing Fax Number | 5084352690 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | HOUSSAM ALKHOURY (OWNER) |
| Authorized Official Telephone | 5085898270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049761 | Simply Dental of Worcester South Pllc | Dentist | 10 Winthrop Street, Suite 200, Worcester, MA 01604 | 2019-05-24 |
| Street Address |
10 WINTHROP ST STE 2 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348489 | Deepti Kalra,dmd,pllc | Clinic/Center | 3 Triangle St, Worcester, MA 01606-3017 | 2019-04-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1396275673 | Swan Dental LLC | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2017-06-19 |
| 1952573347 | Frederick L Bayon Dmd & Jeffrey D Maher Dmd PC | Clinic/Center | 445 Grove Street, Worcester, MA 01605 | 2008-03-26 |
| 1245439397 | Quinsigamond Community College | Clinic/Center | 670 W Boylston St, Worcester, MA 01606-2064 | 2007-07-17 |
| 1629610985 | Arena Family Dental LLC | Clinic/Center | 1049 Main St, Worcester, MA 01603-2485 | 2019-10-08 |
| 1538623111 | Nima Ansari Dmd Pllc (dba: Our Family Dental) | Clinic/Center | 700 Southbridge St Ste 2, Worcester, MA 01610-2941 | 2019-01-28 |
| 1992278238 | Simply Dental of Worcester East Pllc | Clinic/Center | 330 Plantation St, Worcester, MA 01604-1750 | 2019-01-09 |
| 1457821415 | Lee Family Dental Care Pllc | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2018-12-03 |
| 1396287983 | Feel Good Dental PC | Clinic/Center | 27-29 Mechanic St, Suite 200, Worcester, MA 01608-2414 | 2016-11-14 |
| 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.