SALEM STREET DENTAL PC (NPI# 1770982985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770982985 |
| Entity Type | Organization |
| Organization Name | SALEM STREET DENTAL PC |
| Practice Address |
15 Salem St Worcester MA 01608-2006 |
| Practice Telephone | 6177210707 |
| Mailing Telephone | 6177210707 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | DR. KEVIN GUZE (PRESIDENT) |
| Authorized Official Telephone | 6177210707 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN21851 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DENTAL LICENSE | DN21851 | 01 |
| Street Address |
15 SALEM ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285076281 | Natalie Marie Stanley | Dentist | 15 Salem St, Worcester, MA 01608-2006 | 2013-07-19 |
| 1679820815 | Adam Nouri Darvish | Dentist | 15 Salem St, Worcester, MA 01608-2006 | 2012-08-07 |
| 1023315678 | Dtc Dental Care Inc | Dentist | 15 Salem St, Worcester, MA 01608 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190502 | Simply Orthodontics and Pediatrics Worcester, Pllc | Dentist | 200 Lincoln St Ste 6, Worcester, MA 01605-2528 | 2019-12-09 |
| 1821645060 | Wave Dental Pllc | Dentist | 281 Shrewsbury St, Worcester, MA 01604-4623 | 2019-08-22 |
| 1700440658 | Evershine Dental Group PC | Dentist | 100 Mlk Jr Blvd Ste 100, Worcester, MA 01608-1209 | 2019-04-25 |
| 1891234183 | Union Dental Worcester LLC | Dentist | 101 Pleasant St Ste 2010, Worcester, MA 01609-3213 | 2017-02-20 |
| 1659739027 | Ke Dental, PC | Dentist | 64 Highland St, Worcester, MA 01609-2729 | 2016-02-01 |
| 1497139711 | Tarek Ali Elmajie | Dentist | 285 Plantation St Apt 303, Worcester, MA 01604-7707 | 2015-07-16 |
| 1518363118 | Bhavana Agadi Dmd LLC | Dentist | 1241 Main St Unit 8, Worcester, MA 01603-1842 | 2014-11-08 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1134538416 | Neighborhood Dental Group PC | Dentist | 111 Elm St Ste 203, Worcester, MA 01609-1967 | 2014-08-12 |
| 1457784407 | Mohamed Hazem Farid Elnazer | Dentist | 1438 Grafton St, Worcester, MA 01604-2721 | 2013-08-14 |
| 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.