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CENTRALMASSDENTALGROUP PC
NPI 1558964957
Clinic/Center - Dental in Gardner, MA

Active since November 18, 2020
49 CROSS ST, GARDNER, MA 01440(978) 632-5659 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Centralmassdentalgroup Pc NPPES

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

CENTRALMASSDENTALGROUP PC (NPI 1558964957) is a healthcare organization registered as a dental in Gardner, Massachusetts and active in the NPI registry since November 2020. The organization lists Dong Won Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1558964957
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCENTRALMASSDENTALGROUP PC
Location Address49 CROSS STGardner, MA 01440-2213
Mailing Address49 Cross StGardner, MA 01440-2213 · (978) 632-6569
Phone(978) 632-5659
Organization SubpartNo
Authorized OfficialDong Won KimOwner · (978) 632-5659
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1558964957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
49 CROSS ST, Gardner, MA 01440
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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.

ASLAN TANGESTANIPOUR
Dentist
49 CROSS ST
GARDNER, MA 01440
Worcester County (978) 632-5659
DR. ASHLEY ELIZABETH HANKINSON D.D.S.
Dentist (General Practice)
49 CROSS ST
GARDNER, MA 01440
Worcester County (978) 632-5659
DIVYANSHU SONI DMD
Dentist (General Practice)
49 CROSS ST
GARDNER, MA 01440
Worcester County (978) 632-5659

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 Centralmassdentalgroup PC's NPI number?

The NPI number for Centralmassdentalgroup PC is 1558964957. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Centralmassdentalgroup PC located?

Centralmassdentalgroup PC is located at 49 Cross St, Gardner, MA 01440. The listed phone number is (978) 632-5659.

What is Centralmassdentalgroup 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 Centralmassdentalgroup PC was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.