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PINE DENTAL PC
NPI 1245081736
Clinic/Center - Dental in Fitchburg, MA

Active since April 01, 2024
394 WATER ST, FITCHBURG, MA 01420(617) 888-3400 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Dental Pc NPPES

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

PINE DENTAL PC (NPI 1245081736) is a healthcare organization registered as a dental in Fitchburg, Massachusetts and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Fitchburg and lists Dong Won Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1245081736
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePINE DENTAL PC
Location Address394 WATER STFitchburg, MA 01420-5602
Mailing Address394 Water StFitchburg, MA 01420-5602 · (617) 888-3400
Phone(617) 888-3400
Organization SubpartNo
Authorized OfficialDong Won KimOwner · (617) 888-3400
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1245081736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
394 WATER ST, Fitchburg, MA 01420
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Secondary Practice Location 1

Location 1394 Water StFitchburg, MA 01420-5602 · Phone (617) 888-3400

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 Pine Dental PC's NPI number?

The NPI number for Pine Dental PC is 1245081736. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Pine Dental PC located?

Pine Dental PC is located at 394 Water St, Fitchburg, MA 01420. The listed phone number is (617) 888-3400.

What is Pine Dental PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pine Dental PC was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.