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COMMONWEALTH PERIODONTICS
NPI 1023425808
Dentist - Periodontics in Worcester, MA

Active since July 14, 2014
48 ELM ST, WORCESTER, MA 01609(150) 875-4122(508) 754-9378 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Periodontics NPPES

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

COMMONWEALTH PERIODONTICS (NPI 1023425808) is a healthcare organization registered as a periodontics in Worcester, Massachusetts and active in the NPI registry since July 2014. The organization lists Susan Marie Depatie, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1023425808
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOMMONWEALTH PERIODONTICS
Location Address48 ELM STWorcester, MA 01609-2541
Mailing Address48 Elm StWorcester, MA 01609-2541 · (150) 875-4122 · Fax (508) 754-9378
Phone(150) 875-4122
Fax(508) 754-9378
Organization SubpartNo
Authorized OfficialSusan Marie DepatieDirector Of Operations · (508) 754-1122
Enumeration DateJuly 14, 2014
✔ NPI 1023425808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 20952
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
48 ELM ST, Worcester, MA 01609
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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

Other Providers at the Same Location NPPES 20

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

GIANNA LEIGH FERNANDEZ
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 328-9819
JOSALYNN CEDILLO
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (774) 352-5620
DONOVAN M SMITH
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 225-6634
DESIREE VENNERT
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 938-6687
FELICIA ANNE EWING BCBA
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609
Worcester County (800) 337-5965
JENEISSY RAMOS
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 239-2070
DR. MERRISA ELEANOR MURTHA AUD.
Audiologist
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 757-0330
JASELYNE M MALDONADO
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (774) 506-5339

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 Commonwealth Periodontics's NPI number?

The NPI number for Commonwealth Periodontics is 1023425808. It was assigned to this organization in the NPPES registry on July 14, 2014.

Where is Commonwealth Periodontics located?

Commonwealth Periodontics is located at 48 Elm St, Worcester, MA 01609. The listed phone number is (150) 875-4122.

What is Commonwealth Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Commonwealth Periodontics was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.