MARLBOROUGH FAMILY DENTAL, LLC (NPI# 1912238379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912238379 |
| Entity Type | Organization |
| Organization Name | MARLBOROUGH FAMILY DENTAL, LLC |
| Other Organization Name | MARLBOROUGH FAMILY DENTAL |
| Practice Address |
222 E Boston Post Road Post Road Plaza Marlborough MA 01752 |
| Mailing Address |
222 E. Boston Post Road Marlborough MA 01752 |
| Practice Telephone | 5084852960 |
| Mailing Telephone | 5084852960 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. RONALD COHEN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6176250543 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Marlborough Family Dental | Doing Business As Name - Organization |
| Street Address |
222 E BOSTON POST ROAD POST ROAD PLAZA |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| 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 |
|---|---|---|---|---|
| 1023292844 | Vanessa D. Newton | Dentist | 221 Boston Post Rd E Ste 330, Marlborough, MA 01752-3527 | 2007-12-28 |
| 1174705792 | Dennis J Ahern Dds PC | Dentist | 222 Bolton Street, Marlborough, MA 01752 | 2007-12-05 |
| 1013112101 | Preetha M Prasath | Dentist | 116 Main St Ste 1, Marlborough, MA 01752-3811 | 2007-06-19 |
| 1174731608 | Joseph A Prignano | Dentist | Route 66, 14 East Hampton Road, Marlborough, CT 06424 | 2007-05-18 |
| 1952427494 | Dennis C Hodgdon | Dentist | 6 Lake Road, Marlborough, CT 06447 | 2007-03-22 |
| 1528193885 | Sanjiv Nehra | Dentist | 222 Bolton St, Marlborough, MA 01752-3902 | 2007-02-23 |
| 1801936075 | Margarita Panajoti | Dentist | 661c Boston Post Rd E, Marlborough, MA 01752-3732 | 2007-02-07 |
| 1568514883 | Mpgt Corp | Dentist | 661 Boston Post Rd E Ste C, Marlborough, MA 01752-3732 | 2007-01-17 |
| 1962553362 | Edward Fred Ingerman | Dentist | 530 Boston Post Rd E Ste D, Marlborough, MA 01752-3645 | 2007-01-15 |
| 1053322230 | Melissa A Moeckel | Dentist | 11a Florence St, Marlborough, MA 01752-2822 | 2006-08-11 |
| Find all providers in MARLBOROUGH | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on MARLBOROUGH FAMILY DENTAL, LLC.
| 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.