1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Dentist
  6. NPI Profile

WEBSTER SQUARE DENTAL
NPI 1629116355
Dentist - General Practice in Worcester, MA

Active since February 02, 2007
17 YOUNG ST, WORCESTER, MA 01603(508) 753-6777(508) 753-0206 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Webster Square Dental NPPES

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

WEBSTER SQUARE DENTAL (NPI 1629116355) is a healthcare organization registered as a general practice in Worcester, Massachusetts and active in the NPI registry since February 2007. The organization lists Kenny Lam, Owner, as its authorized official.

NPPES Registry Identity

NPI1629116355
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWEBSTER SQUARE DENTAL
Location Address17 YOUNG STWorcester, MA 01603-1420
Mailing Address17 Young StWorcester, MA 01603-1420 · (508) 753-6777 · Fax (508) 753-0206
Phone(508) 753-6777
Fax(508) 753-0206
Organization SubpartNo
Authorized OfficialKenny LamOwner · (508) 753-6777
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629116355 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 · 19810
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.
17 YOUNG ST, Worcester, MA 01603
Open in Google Maps ↗

Other Identifiers 4

Medicaid9712470MA
Medicaid0208281MA
Medicaid0282073MA
Medicaid0202991MA

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NGUYEN MINH TAU DMD
Dentist
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777
DR. DAVID HUYNH DMD
Dentist (General Practice)
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777
ASMA A HAMEED D.M.D
Dentist (General Practice)
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777
DONGMEI YANG D.M.D
Dentist (General Practice)
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777
KENNY A LAM
Dentist (General Practice)
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777
DR. ANKITA BANSAL D.M.D
Dentist
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (347) 741-1152
MICHELLE D WILKERSON DDS
Dentist (Pediatric Dentistry)
17 YOUNG ST
WORCESTER, MA 01603
Worcester County (508) 753-6777

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 Webster Square Dental's NPI number?

The NPI number for Webster Square Dental is 1629116355. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Webster Square Dental located?

Webster Square Dental is located at 17 Young St, Worcester, MA 01603. The listed phone number is (508) 753-6777.

What is Webster Square Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Webster Square Dental was last updated on August 22, 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.