WESTERN MASS PERIODONTICS PC
NPI 1295217065
Dentist - Periodontics in Worcester, MA

Active since August 29, 2018
65 ELM ST, WORCESTER, MA 01609(508) 363-4400 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, Jan 17, 2022, Feb 18, 2020 and 1 more (4 updates tracked since 2018).

About Western Mass Periodontics Pc NPPES

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

WESTERN MASS PERIODONTICS PC (NPI 1295217065), doing business as Akram E. Rafla Dmd, Pc, is a healthcare organization registered as a periodontics in Worcester, Massachusetts and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Marlborough and lists Leah Ann Maylott, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1295217065
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN MASS PERIODONTICS PC
Location Address65 ELM STWorcester, MA 01609-2547
Mailing Address65 Elm StWorcester, MA 01609-2547 · (860) 874-8198
Organization SubpartYes
Authorized OfficialLeah Ann MaylottCredentialing Administrator · (860) 874-8198
Enumeration DateAugust 29, 2018
Last NPPES UpdateAugust 19, 20224 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1295217065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
65 ELM ST, Worcester, MA 01609

Other Names 2

Former Legal Business NameAkram E. Rafla Dmd, Pc
Doing Business AsNortheast Periodontal Specialists

Secondary Practice Location 1

Location 1201 Boston Post Rd W Ste 409Marlborough, MA 01752-4667 · Phone (508) 393-0160

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Western Mass Periodontics PC's NPI number?

The NPI number for Western Mass Periodontics PC is 1295217065. It was assigned to this organization in the NPPES registry on August 29, 2018. The provider is doing business as Northeast Periodontal Specialists. The provider was formerly known as Akram E. Rafla Dmd, PC.

Where is Western Mass Periodontics PC located?

Western Mass Periodontics PC is located at 65 Elm St, Worcester, MA 01609. The listed phone number is (508) 363-4400.

What is Western Mass Periodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Western Mass Periodontics PC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.