| Straight Smiles Of Worcester | |
|
388 Park Ave Worcester MA 01610-1025 | |
| (508) 798-6565 | |
| (508) 798-6687 |
| Full Name | Straight Smiles Of Worcester |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 388 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Jenell Stump (MANAGER, L & C) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Straight Smiles Of Worcester 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Straight Smiles Of Worcester 388 Park Ave Worcester MA 01610-1025 Ph: (508) 798-6565 |
| NPI Number | 1487943635 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487943635 | NPI | - | NPPES |
| 110088462A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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