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ALEXANDRA PENTA DMD
NPI 1629641907
Dentist - Pediatric Dentistry in Worcester, MA

Active since July 23, 2021
102 SHORE DR STE 302, WORCESTER, MA 01605(508) 854-9994 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexandra Penta Dmd NPPES

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

ALEXANDRA PENTA DMD (NPI 1629641907) is an individual pediatric dentistry provider in Worcester, Massachusetts, licensed in Massachusetts (DN1859765) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1629641907
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameALEXANDRA PENTACredential: DMD
Location Address102 SHORE DR STE 302Worcester, MA 01605-3154
Mailing Address899 Congress St Apt 602Boston, MA 02210-2818 · (617) 347-0349
Phone(508) 854-9994
Sole ProprietorNo
Enumeration DateJuly 23, 2021
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1629641907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · DN1859765
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS043482 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
102 SHORE DR STE 302, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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 Alexandra Penta's NPI number?

The NPI number for Alexandra Penta is 1629641907. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Alexandra Penta located?

Alexandra Penta practices at 102 Shore Dr Ste 302, Worcester, MA 01605. The listed phone number is (508) 854-9994.

What is Alexandra Penta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Alexandra Penta accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Alexandra Penta 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 Alexandra Penta was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.