COMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC
NPI 1215081625
Dentist - General Practice in Lakeville, MA

Q: What is Commonwealth Mobile Oral Health Services, LLC's specialty?

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

Active since January 22, 2007

12 COLLEEN DR, LAKEVILLE, MA 02347(508) 947-0111(508) 743-7827 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Commonwealth Mobile Oral Health Services, Llc NPPES

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

COMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC (NPI 1215081625) is a healthcare organization registered as a general practice in Lakeville, Massachusetts and active in the NPI registry since January 2007. The organization lists Mark J Doherty, Director, as its authorized official.

NPPES Registry Identity

NPI1215081625

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCOMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC

Location Address12 COLLEEN DRLakeville, MA 02347-1663

Mailing Address12 Colleen DrLakeville, MA 02347-1663 · (508) 947-0111 · Fax (508) 743-7827

Phone(508) 947-0111

Fax(508) 743-7827

Organization SubpartNo

Authorized OfficialMark J DohertyDirector · (508) 947-0111

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJuly 19, 2012

✔ NPI 1215081625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 12683

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.

12 COLLEEN DR, Lakeville, MA 02347

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Other Identifiers 6

Medicaid01761953NY

Medicaid30010445NH

Medicaid0245844MA

Medicaid9756892MA

Medicaid30010446NH

Medicaid01730905NY

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 3

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

DR. GHASSAN A KHOURY DMD,MPH,PC

Dentist (General Practice)

12 COLLEEN DR
LAKEVILLE, MA 02347

Plymouth County (508) 947-0111

DR. CUONG DO DMD

Dentist (General Practice)

12 COLLEEN DR
LAKEVILLE, MA 02347

Plymouth County (508) 947-0111

DR. QUI Q NGUYEN DMD

Dentist (General Practice)

12 COLLEEN DR
LAKEVILLE, MA 02347

Plymouth County (508) 947-0111

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 Mobile Oral Health Services, LLC's NPI number?

The NPI number for Commonwealth Mobile Oral Health Services, LLC is 1215081625. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Commonwealth Mobile Oral Health Services, LLC located?

Commonwealth Mobile Oral Health Services, LLC is located at 12 Colleen Dr, Lakeville, MA 02347. The listed phone number is (508) 947-0111.

What is Commonwealth Mobile Oral Health Services, 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 Commonwealth Mobile Oral Health Services, LLC was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.