WORCESTER QUALITY DENTAL. PC
NPI 1063935666
Dentist in Worcester, MA

Active since July 25, 2017
715 PLEASANT ST # 1, WORCESTER, MA 01602(617) 230-6986 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Worcester Quality Dental. Pc NPPES

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

WORCESTER QUALITY DENTAL. PC (NPI 1063935666) is a healthcare organization registered as a dentist in Worcester, Massachusetts and active in the NPI registry since July 2017. The organization lists Michel Damerji, Owner, as its authorized official.

NPPES Registry Identity

NPI1063935666
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWORCESTER QUALITY DENTAL. PC
Location Address715 PLEASANT ST # 1Worcester, MA 01602-1904
Mailing Address30 Prospect StFramingham, MA 01701-4827 · (617) 230-6986
Organization SubpartNo
Authorized OfficialMichel DamerjiOwner · (617) 230-6986
Enumeration DateJuly 25, 2017
NPI 1063935666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · DN1856800
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

715 PLEASANT ST # 1, Worcester, MA 01602

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0895509

Worcester State Colege Student Health Svc · Worcester, MA
Expired · Jan 15, 2026
CLIA Number22D0895509
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 16, 2024
Certificate Expiration DateJanuary 15, 2026
Laboratory DirectorJohn Mccahan MD
Laboratory Phone(508) 793-8875
Laboratory LocationWorcester State Colege Student Health Svc486 Chandler Street, Worcester, MA 01602
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063935666, enumerated as an "organization" on July 25, 2017.

The provider is located at 715 PLEASANT ST # 1 WORCESTER, MA 01602 and the phone number is (617) 230-6986.

Dentist with taxonomy code 122300000X.