| University Dental Group Pc | |
|
330 Plantation Street Worcester MA 01604 | |
| (508) 753-1911 | |
| (508) 753-1837 |
| Full Name | University Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Plantation Street, Worcester, Massachusetts |
| Authorized Official Name and Position | John Paul Bisceglia (PRESIDENT) |
| Authorized Official Contact | 5087531911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Group Pc 330 Plantation Street Worcester MA 01604 Ph: (508) 753-1911 | University Dental Group Pc 330 Plantation Street Worcester MA 01604 Ph: (508) 753-1911 |
| NPI Number | 1639261894 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639261894 | NPI | - | NPPES |
| 77236 | Other | MA | DELTA DENTAL |
| 00236 | Other | MA | DELTA DENTAL |
| X10254 | Other | MA | B CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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