PEDIATRIC DENTAL GROUP INC
NPI 1669767117
Dentist - Pediatric Dentistry in Marlborough, MA

NPI Status: Active since June 13, 2011

Contact Information

116 MAIN ST
SUITE1
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 485-2001
Fax: (508) 485-2201

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  • Organization
  • Dentist
  • Pediatric Dentistry

About PEDIATRIC DENTAL GROUP INC

This page provides the complete NPI Profile along with additional information for Pediatric Dental Group Inc, a provider established in Marlborough, Massachusetts operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1669767117 assigned on June 2011. The practitioner's primary taxonomy code is 1223P0221X with license number 12581 (MA). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Patrick Assioun (Ceo)

NPI
1669767117
Provider Name
PEDIATRIC DENTAL GROUP INC
Entity Type
Organization
Location Address
116 MAIN ST SUITE1 MARLBOROUGH, MA 01752
Location Phone
(508) 485-2001
Location Fax
(508) 485-2201
Mailing Address
116 MAIN ST SUITE1 MARLBOROUGH, MA 01752
Mailing Phone
(508) 485-2001
Mailing Fax
(508) 485-2201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2011
Last Update Date
06-13-2011
Code Navigator

A dentist like Pediatric Dental Group Inc 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.

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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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
12581
License State
MA
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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

PATRICK ASSIOUN

Authorized Official Title
CEO
Authorized Official Phone
(978) 580-1524

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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.
1669767117
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291461412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 4 + 6 + 1 + 4 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1669767117 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326074725SYNERGY HOME HEALTH CARE INC
Organization
Home Health116 MAIN ST SUITE 2
MARLBOROUGH, MA 01752
(508) 481-4930
1902075096PATRICK ASSIOUN DMD PC
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)116 MAIN ST
MARLBOROUGH, MA 01752
(508) 485-2001
1194059725METROWEST DENTAL CENTER, INC.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)116 MAIN ST SUITE 1
MARLBOROUGH, MA 01752
(508) 485-2001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669767117, enumerated in the NPI registry as an "organization" on June 13, 2011

The provider is located at 116 Main St Suite1 Marlborough, Ma 01752 and the phone number is (508) 485-2001

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on June 13, 2011. 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].
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