WORCESTER SMILES YOUTH DENTISTRY, LLC
NPI 1073661385
Dentist - General Practice in Worcester, MA

Q: What is Worcester Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 05, 2007

290 PARK AVE, WORCESTER, MA 01609(508) 798-9040(508) 798-9060 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Worcester Smiles Youth Dentistry, Llc NPPES

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

WORCESTER SMILES YOUTH DENTISTRY, LLC (NPI 1073661385) is a healthcare organization registered as a general practice in Worcester, Massachusetts and active in the NPI registry since January 2007. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1073661385

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWORCESTER SMILES YOUTH DENTISTRY, LLC

Location Address290 PARK AVEWorcester, MA 01609-1805

Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705

Phone(508) 798-9040

Fax(508) 798-9060

Organization SubpartNo

Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJuly 9, 2014

✔ NPI 1073661385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

290 PARK AVE, Worcester, MA 01609

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Other Identifiers 1

Medicaid110069690AMA

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 4

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

TARUNJEET PABLA DMD

Dentist

290 PARK AVE
WORCESTER, MA 01609

Worcester County (508) 798-9040

WORCESTER HILLS DENTAL PC

Dentist (General Practice)

290 PARK AVE
WORCESTER, MA 01609

Worcester County (508) 798-9040

MAREEN E GEORGE DMD

Dentist (General Practice)

290 PARK AVE
WORCESTER, MA 01609

Worcester County (508) 798-9040

GAYATRI GUNDA HOROWITZ DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

290 PARK AVE
WORCESTER, MA 01609

Worcester County (508) 798-9040

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 Worcester Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Worcester Smiles Youth Dentistry, LLC is 1073661385. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Worcester Smiles Youth Dentistry, LLC located?

Worcester Smiles Youth Dentistry, LLC is located at 290 Park Ave, Worcester, MA 01609. The listed phone number is (508) 798-9040.

What is Worcester Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Worcester Smiles Youth Dentistry, LLC was last updated on July 9, 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.