CEDAR BROOK PEDIATRIC DENTISTRY PLLC
NPI 1003579277
Dentist - Pediatric Dentistry in Southborough, MA

Active since October 14, 2021
162 CORDAVILLE RD STE 175, SOUTHBOROUGH, MA 01772(617) 817-6346 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedar Brook Pediatric Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR BROOK PEDIATRIC DENTISTRY PLLC (NPI 1003579277) is a healthcare organization registered as a pediatric dentistry in Southborough, Massachusetts and active in the NPI registry since October 2021. The organization lists Naomi La, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1003579277
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCEDAR BROOK PEDIATRIC DENTISTRY PLLC
Location Address162 CORDAVILLE RD STE 175Southborough, MA 01772-1838
Mailing Address302 Bay DrNorthborough, MA 01532-3403
Organization SubpartNo
Authorized OfficialNaomi LaPractice Owner · (617) 817-6346
Enumeration DateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
NPI 1003579277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
162 CORDAVILLE RD STE 175, Southborough, MA 01772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
162 CORDAVILLE RD STE 175
SOUTHBOROUGH, MA 01772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Brook Pediatric Dentistry PLLC's NPI number?

The NPI number for Cedar Brook Pediatric Dentistry PLLC is 1003579277. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Cedar Brook Pediatric Dentistry PLLC located?

Cedar Brook Pediatric Dentistry PLLC is located at 162 Cordaville Rd Ste 175, Southborough, MA 01772. The listed phone number is (617) 817-6346.

What is Cedar Brook Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Cedar Brook Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Cedar Brook Pediatric Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cedar Brook Pediatric Dentistry PLLC was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.