NPI 1023484375

Russell Street Dental Associates,llc

Organisation Dental Clinic/Center Worcester, MA

Practice location

Address: 227 Russell St, Worcester, MA 01602-2126
Phone: (508) 791-1777
Fax: (508) 792-0244

Authorised official

Name: Robert J Gauthier
Title: Manager
Phone: (508) 791-1777

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Massachusetts →

Registry record

NPI: 1023484375
Entity type: Organization
NPI issued: 20 Aug 2015
Record last updated: 20 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.