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NEWTON WELLESLEY DENTAL GROUP LLC
NPI 1619583168
Clinic/Center - Dental in Newton, MA

Active since September 21, 2020
447 CENTRE STREET, SAME, NEWTON, MA 02458(617) 244-4133 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About NEWTON WELLESLEY DENTAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Newton Wellesley Dental Group Llc, a provider established in Newton, Massachusetts operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1619583168 assigned on September 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Lorraine E Matheus (Crediting Specialist)

NPI
1619583168 Verify this NPI
Provider Name
NEWTON WELLESLEY DENTAL GROUP LLC
Entity Type
Organization
Location Address
447 CENTRE STREET SAME NEWTON, MA 02458
Location Phone
(617) 244-4133
Mailing Address
447 CENTRE STREET SAME NEWTON, MA 02458
Mailing Phone
(617) 244-4133
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2020
Last Update Date
09-21-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORRAINE E MATHEUS

Authorized Official Title
CREDITING SPECIALIST
Authorized Official Phone
(781) 567-0457

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Frequently Asked Questions

What is NEWTON WELLESLEY DENTAL GROUP LLC's NPI number?

The NPI number assigned to this healthcare provider is 1619583168, enumerated as an "organization" on September 21, 2020.

Where is the provider located?

The provider is located at 447 CENTRE STREET SAME NEWTON, MA 02458 and the phone number is (617) 244-4133.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.