DISTINCTIVE DENTAL ASSOCIATES
NPI 1114136504
Dentist in Worcester, MA

NPI Status: Active since May 22, 2007

Contact Information

255 PARK AVE
SUITE 904
WORCESTER, MA
ZIP 01609
Phone: (508) 792-9010
Fax: (508) 754-7856

Get Directions Reviews

  • Organization
  • Dentist

About DISTINCTIVE DENTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Distinctive Dental Associates, a provider established in Worcester, Massachusetts operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1114136504 assigned on May 2007. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Dr.'s Waxman And Giordano. The authorized official of this NPI record is Dr. Stephen Waxman D.m.d. (Dentist)

NPI
1114136504
Provider Legal Name
DISTINCTIVE DENTAL ASSOCIATES
Other Organization Name
DR.'S WAXMAN AND GIORDANO
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
255 PARK AVE SUITE 904 WORCESTER, MA 01609
Location Phone
(508) 792-9010
Location Fax
(508) 754-7856
Mailing Address
255 PARK AVE SUITE 904 WORCESTER, MA 01609
Mailing Phone
(508) 792-9010
Mailing Fax
(508) 754-7856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
Last Update Date
06-18-2008
Code Navigator

A dentist like Distinctive Dental Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHEN WAXMAN D.M.D.

Authorized Official Title
DENTIST
Authorized Official Phone
(508) 792-9010

Reviews for DISTINCTIVE DENTAL ASSOCIATES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114136504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124231250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 2 + 3 + 1 + 2 + 5 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1114136504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578567228DR. PETER P AUDETTE DMD
Individual
Dentist (General Practice)255 PARK AVE STE 800
WORCESTER, MA 01609
(508) 753-3200
1629068820DR. PHILIP J CABRERA D.D.S., F.R.C.D. (C)
Individual
Dentist (Endodontics)255 PARK AVE SUITE 1020
WORCESTER, MA 01609
(508) 792-4290
1619942679 WALTER K GOLJAN MD
Individual
Internal Medicine255 PARK AVE SUITE 400
WORCESTER, MA 01609
(508) 755-9776
1649209487 SERGIO GUZMAN D.M.D., M.S.D.
Individual
Dentist (Periodontics)255 PARK AVE SUITE 701
WORCESTER, MA 01609
(508) 363-4400
1619907094 AMY E KENDRICK NP
Individual
Nurse Practitioner255 PARK AVE SUITE 400
WORCESTER, MA 01609
(508) 755-9776
1821005562 MICHAEL ANDREW SHUSTAK D.M.D.
Individual
Dentist (General Practice)255 PARK AVE SUITE 509
WORCESTER, MA 01609
(508) 754-7799
1205843893DR. ROBERT JOSEPH GREENE DPM
Individual
Podiatrist255 PARK AVE SUITE 803
WORCESTER, MA 01609
(508) 757-3803
1336157874DR. ATHAN SAVAS DDS
Individual
Dentist (Periodontics)255 PARK AVE SUITE 1103
WORCESTER, MA 01609
(508) 798-4800
1710091319THE HUROWITZ MEDICAL GROUP
Organization
Internal Medicine255 PARK AVE SUITE 210
WORCESTER, MA 01609
(508) 753-8800
1124121314 AMELIA L CONRAD LICSW
Individual
Social Worker (Clinical)255 PARK AVE SUITE 300
WORCESTER, MA 01609
(781) 871-6550
1548356876 JUDITH A SHUTE LICSW
Individual
Social Worker (Clinical)255 PARK AVE
WORCESTER, MA 01609
(508) 799-0688
1528143252ONSITE THERAPY SOLUTIONS, INC
Organization
Physical Therapist255 PARK AVE SUITE 400
WORCESTER, MA 01609
(508) 755-7272
1437235348DR. JOHN EDWARD LAVOIE DMD
Individual
Dentist (General Practice)255 PARK AVE SUITE 804
WORCESTER, MA 01609
(508) 755-6359
1154485209DR. JOHN J. GIORDANO D.M.D.
Individual
Dentist (General Practice)255 PARK AVE SUITE 904
WORCESTER, MA 01609
(508) 792-9010
1528125663CENTRAL MASSACHUSETTS FOOT SPECIALISTS INC.
Organization
Podiatrist (Foot Surgery)255 PARK AVE SUITE 803
WORCESTER, MA 01609
(508) 757-3803
1518015981MS. SHARON J THOMPSON LICSW
Individual
Social Worker (Clinical)255 PARK AVE SUITE 803
WORCESTER, MA 01609
(508) 799-0688
1407906191 JEFFREY D SIVERT PTA
Individual
Physical Therapy Assistant255 PARK AVE SUITE 400
WORCESTER, MA 01609
(508) 755-7272
1447385729 ILLONA SUSAN BROSSMANMCINTIRE PT
Individual
Physical Therapist255 PARK AVE SUITE 400
WORCESTER, MA 01609
(508) 755-7272
1033239314 DEBORAH DUTTON LMHC
Individual
Social Worker (Clinical)255 PARK AVE SUITE 300
WORCESTER, MA 01609
(781) 871-6550
1831219005 KEVIN OCONNER PH.D.
Individual
Social Worker (Clinical)255 PARK AVE SUITE 300
WORCESTER, MA 01609
(781) 871-6550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114136504, enumerated in the NPI registry as an "organization" on May 22, 2007

The provider is located at 255 Park Ave Suite 904 Worcester, Ma 01609 and the phone number is (508) 792-9010

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on May 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.