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GREENDALE DENTAL
NPI 1730305228
Dentist - General Practice in Worcester, MA

Active since April 17, 2007
500 W BOYLSTON ST, WORCESTER, MA 01606(508) 852-6616(508) 854-1037 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greendale Dental NPPES

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

GREENDALE DENTAL (NPI 1730305228) is a healthcare organization registered as a general practice in Worcester, Massachusetts and active in the NPI registry since April 2007. The organization lists Kerry Mark Grolman, Owner, as its authorized official.

NPPES Registry Identity

NPI1730305228
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREENDALE DENTAL
Location Address500 W BOYLSTON STWorcester, MA 01606-2058
Mailing Address500 W Boylston StWorcester, MA 01606-2058 · (508) 852-6616 · Fax (508) 854-1037
Phone(508) 852-6616
Fax(508) 854-1037
Organization SubpartNo
Authorized OfficialKerry Mark GrolmanOwner · (508) 852-6616
Enumeration DateApril 17, 2007
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1730305228 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 · 16451
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.
500 W BOYLSTON ST, Worcester, MA 01606
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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 2

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

DR. ALAN PETER DUBOIS D.C.
Chiropractor
500 W BOYLSTON ST
WORCESTER, MA 01606
Worcester County (508) 852-4120
DR. KERRY MARK GROLMAN D.D.S.
Dentist
500 W BOYLSTON ST
WORCESTER, MA 01606
Worcester County (508) 852-6616

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 Greendale Dental's NPI number?

The NPI number for Greendale Dental is 1730305228. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Greendale Dental located?

Greendale Dental is located at 500 W Boylston St, Worcester, MA 01606. The listed phone number is (508) 852-6616.

What is Greendale 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 Greendale Dental was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.