UNIQUE DENTAL OF WINCHENDON LLC (NPI# 1720508161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720508161 |
| Entity Type | Organization |
| Organization Name | UNIQUE DENTAL OF WINCHENDON LLC |
| Practice Address |
77 Central St Winchendon MA 01475-1609 |
| Mailing Address |
16 Scarlet Ct North Easton MA 02356-3625 |
| Practice Telephone | 9782970675 |
| Mailing Telephone | 5082970143 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | DR. YASER JOHN WEHBE (MANAGER) |
| Authorized Official Telephone | 7816323336 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20518 | MA | Ambulatory Health Care Facilities |
| Street Address |
77 CENTRAL ST |
| City | WINCHENDON |
| State | MA |
| Zip Code | 01475-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538548 | Kenneth Lloyd Bouchard | Dentist | 77 Central St, Winchendon, MA 01475-1609 | 2005-06-14 |
| 1639720907 | Ahmad Hakwati | Dentist | 77 Central St, Winchendon, MA 01475-1609 | 2019-09-26 |
| 1649651670 | Tushin Atulkumar Shah | Dentist | 77 Central St, Winchendon, MA 01475-1609 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338833 | Ryen Wood | Developmental Therapist | 334 Front Street, Winchendon, MA 01475 | 2018-09-01 |
| 1164936050 | Kristopher Daniel Ambrozewicz | Counselor | 318 Maple Street, Winchendon, MA 01475 | 2017-11-30 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| 1700154002 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 Central Street, Winchendon, MA 01475 | 2011-12-01 |
| 1205951308 | Town of Winchendon | Local Education Agency (LEA) | 175 Grove St, Winchendon, MA 01475 | 2007-03-20 |
| 1831575844 | Neuropsych and Public Safety Testing Servicesb | Community/Behavioral Health | 201 Central St, Winchendon, MA 01475-1256 | 2015-08-03 |
| 1952421141 | Broadview, Inc. | Assisted Living Facility | 547 Central St, Winchendon, MA 01475-1268 | 2007-03-30 |
| 1699750034 | Renee M Boucher | Nurse Practitioner | 3 Memorial Dr, Winchendon, MA 01475-1279 | 2005-12-08 |
| 1548231731 | David N Havlin | Family Medicine | 55 Hospital Dr, Winchendon, MA 01475-1279 | 2006-01-27 |
| 1417172404 | Cheryl Ann Fletcher | Registered Nurse | 12 Woodlawn St, Winchendon, MA 01475-1333 | 2007-04-16 |
| Find all providers in zip 01475 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154821270 | Winchendon Family Dental PC | Clinic/Center | 47 Pleasant St, Winchendon, MA 01475-1618 | 2018-02-15 |
| 1013341791 | Dennis B Wall Dmd PC | Clinic/Center | 47 Pleasant St, Winchendon, MA 01475-1618 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
| 1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WINCHENDON |
| Zip Code | 01475 |
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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.