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

SOMERVILLE PEDIATRIC DENTISTRY PC
NPI 1740061613
Dentist - Pediatric Dentistry in Somerville, MA

Active since October 09, 2023
51 CROSS ST, SOMERVILLE, MA 02145(617) 227-2421 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Somerville Pediatric Dentistry Pc NPPES

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

SOMERVILLE PEDIATRIC DENTISTRY PC (NPI 1740061613) is a healthcare organization registered as a pediatric dentistry in Somerville, Massachusetts and active in the NPI registry since October 2023. The organization lists Lee W Thach, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1740061613
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOMERVILLE PEDIATRIC DENTISTRY PC
Location Address51 CROSS STSomerville, MA 02145-3244
Mailing Address100 Everett Ave Ste 10Chelsea, MA 02150-2374 · (617) 389-2112 · Fax (617) 389-5885
Phone(617) 227-2421
Organization SubpartNo
Authorized OfficialLee W ThachPediatric Dentist · (617) 227-2421
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 7, 2023
✔ NPI 1740061613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
51 CROSS ST, Somerville, MA 02145
Open in Google Maps ↗

Other Names 1

Doing Business AsSomerville Pediatric Dentistry Pc

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

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

SOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS
Dentist (Pediatric Dentistry)
51 CROSS ST
SOMERVILLE, MA 02145
Middlesex County (617) 642-3139

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 Somerville Pediatric Dentistry PC's NPI number?

The NPI number for Somerville Pediatric Dentistry PC is 1740061613. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Somerville Pediatric Dentistry PC located?

Somerville Pediatric Dentistry PC is located at 51 Cross St, Somerville, MA 02145. The listed phone number is (617) 227-2421.

What is Somerville Pediatric Dentistry PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Somerville Pediatric Dentistry PC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.