Southbridge Place Dental, P.c.
NPI #1861960270 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1861960270
- Entity Type
- Organization
- Organization Name
- Southbridge Place Dental, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Nov 5, 2018
Practice Location
- Address
- 544 SOUTHBRIDGE ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01610-1716
- Phone
- (774) 243-8592
Authorized Official
- Name
- DR. DALE MAYFIELD
- Title
- PRESIDENT
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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