| New England Dental Group | |
|
257 Turnpike Rd Suite 330 Southborough MA 01772-1791 | |
| (508) 281-6464 | |
| (508) 281-6677 |
| Full Name | New England Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 257 Turnpike Rd, Southborough, Massachusetts |
| Authorized Official Name and Position | Gokulan Thiagarajah (VICE- PRESIDENT) |
| Authorized Official Contact | 5089622332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Dental Group 257 Turnpike Rd Suite 330 Southborough MA 01772-1791 Ph: (508) 281-6464 | New England Dental Group 257 Turnpike Rd Suite 330 Southborough MA 01772-1791 Ph: (508) 281-6464 |
| NPI Number | 1326340910 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 3870858988 |
|---|---|
| Medicare Enrollment ID | O20180521000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326340910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18683 (Massachusetts) | Primary |
| Provider Name | Ghazwan F Ghazi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659443869 PECOS PAC ID: 0840582268 Enrollment ID: I20180522000020 |
| Provider Name | Margarita Panajoti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801936075 PECOS PAC ID: 2860756194 Enrollment ID: I20180522000092 |
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