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MEDFORD TLC DENTAL GROUP, LLC
NPI 1457863953
Dentist - General Practice in Medford, MA

Active since October 25, 2017
84 HIGH ST STE 5, MEDFORD, MA 02155(781) 393-0008 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Medford Tlc Dental Group, Llc NPPES

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

MEDFORD TLC DENTAL GROUP, LLC (NPI 1457863953), doing business as Tlc Dental Of Medford, is a healthcare organization registered as a general practice in Medford, Massachusetts and active in the NPI registry since October 2017. The organization lists Anna Ganopolsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1457863953
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMEDFORD TLC DENTAL GROUP, LLC
Location Address84 HIGH ST STE 5Medford, MA 02155-3844
Mailing Address84 High St Ste 5Medford, MA 02155-3844 · (781) 393-0008
Phone(781) 393-0008
Organization SubpartNo
Authorized OfficialAnna GanopolskyOwner · (781) 393-0008
Enumeration DateOctober 25, 2017
Last NPPES UpdateOctober 26, 2017
✔ NPI 1457863953 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 · DN19618
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.
84 HIGH ST STE 5, Medford, MA 02155
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Other Names 1

Former Legal Business NameTlc Dental Of Medford

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

Accepted Insurance

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

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 Medford Tlc Dental Group, LLC's NPI number?

The NPI number for Medford Tlc Dental Group, LLC is 1457863953. It was assigned to this organization in the NPPES registry on October 25, 2017. The provider was formerly known as Tlc Dental Of Medford.

Where is Medford Tlc Dental Group, LLC located?

Medford Tlc Dental Group, LLC is located at 84 High St Ste 5, Medford, MA 02155. The listed phone number is (781) 393-0008.

What is Medford Tlc Dental Group, LLC's specialty?

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

What insurance does Medford Tlc Dental Group, LLC accept?

Health plans from UnitedHealthcare list Medford Tlc Dental Group, 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 Medford Tlc Dental Group, LLC was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.