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REVERE DENTISTRY AND BRACES LLC
NPI 1154849198
Dentist - General Practice in Revere, MA

Active since August 30, 2017
370 BROADWAY, REVERE, MA 02151(781) 629-6636(781) 629-6034 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Jun 2, 2020, Apr 23, 2020 and 1 more (4 updates tracked since 2017).

About Revere Dentistry And Braces Llc NPPES

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

REVERE DENTISTRY AND BRACES LLC (NPI 1154849198) is a healthcare organization registered as a general practice in Revere, Massachusetts and active in the NPI registry since August 2017. The organization lists Todd Pachello, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1154849198
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVERE DENTISTRY AND BRACES LLC
Location Address370 BROADWAYRevere, MA 02151-5016
Mailing Address5 Mount Royal Ave Ste 300Marlborough, MA 01752-1900 · (508) 460-0632
Phone(781) 629-6636
Fax(781) 629-6034
Organization SubpartNo
Authorized OfficialTodd PachelloChief Revenue Officer · (720) 475-6482
Enumeration DateAugust 30, 2017
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1154849198 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.
370 BROADWAY, Revere, MA 02151
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Other Identifiers 1

Medicaid110078301AMA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

ALL DENTAL OF REVERE
Dentist
370 BROADWAY
REVERE, MA 02151
Suffolk County (617) 547-0700

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 Revere Dentistry And Braces LLC's NPI number?

The NPI number for Revere Dentistry And Braces LLC is 1154849198. It was assigned to this organization in the NPPES registry on August 30, 2017.

Where is Revere Dentistry And Braces LLC located?

Revere Dentistry And Braces LLC is located at 370 Broadway, Revere, MA 02151. The listed phone number is (781) 629-6636.

What is Revere Dentistry And Braces LLC's specialty?

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

What insurance does Revere Dentistry And Braces LLC accept?

Health plans from UnitedHealthcare list Revere Dentistry And Braces LLC 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 Revere Dentistry And Braces LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.