Leicester Dental Associates is a dental clinic (Dentist - Orthodontics And Dentofacial Orthopedics) in Leicester, Massachusetts. The current practice location for Leicester Dental Associates is 119 S Main St, Leicester, Massachusetts. For appointments, you can reach them via phone at
(508) 892-4882. The mailing address for Leicester Dental Associates is 119 S Main St, Leicester, Massachusetts and phone number is (508) 892-4882.
Leicester Dental Associates is licensed to practice in Massachusetts (license number 17965) and its
NPI number is 1336171115. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(508) 892-4882.
Dental Care Clinic Profile
| Full Name | Leicester Dental Associates |
|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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| Location | 119 S Main St, Leicester, Massachusetts |
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| Authorized Official Name and Position | John J Millette (OWNER) |
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| Authorized Official Contact | 5088924882 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leicester Dental Associates
119 S Main St
Leicester
MA 01524-1403
Ph: (508) 892-4882 | Leicester Dental Associates
119 S Main St
Leicester
MA 01524-1403
Ph: (508) 892-4882 |
NPI Details:
| NPI Number | 1336171115 |
|---|
| Provider Enumeration Date | 07/06/2006 |
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| Last Update Date | 08/22/2020 |
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Medical Identifiers
Medical identifiers for Leicester Dental Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336171115 | NPI | - | NPPES |
| X11875 | Other | MA | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 17984 (Massachusetts) | Primary |
| 1223G0001X | Dentist - General Practice | 96710 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 20602 (Massachusetts) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19388 (Massachusetts) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 17965 (Massachusetts) | Primary |
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