NEW ENGLAND FAMILY DENTISTRY (NPI# 1467853259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467853259 |
| Entity Type | Organization |
| Organization Name | NEW ENGLAND FAMILY DENTISTRY |
| Other Organization Name | OMG SMILES |
| Practice Address |
388 Park Ave Worcester MA 01610-1025 |
| Mailing Address |
297 Union Ave Framingham MA 01702-6337 |
| Practice Telephone | 9785801524 |
| Mailing Telephone | 9785801524 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | JOANNE TAVANO (DIRECTOR) |
| Authorized Official Telephone | 9785801524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 20209 | MA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| OMG Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407257207 | New England Family Dentistry | Point of Service | 70 Westgate Drive, Brockton, MA 02301 | 2014-09-11 |
| Street Address |
388 PARK AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578899829 | Jasun Mahaffey | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2009-10-21 |
| 1831752880 | Brennan Ree Bahnson | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2019-04-16 |
| 1982149514 | Oral Surgery Partners PC | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2017-01-06 |
| 1487943635 | Worcester Smiles Youth Dentistry, LLC | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208690 | Marla P. Meyer, Licsw LLC | Point of Service | 39 Norman St Fl 3, Salem, MA 01970-3380 | 2019-04-12 |
| 1972037562 | Metrowest Dental Center | Point of Service | 433 Center St Ste 7, Ludlow, MA 01056-2857 | 2017-04-20 |
| 1063963353 | Fitchburgh Dentistry and Braces PC | Point of Service | 505 John Fitch Hwy, Fitchburg, MA 01420-8403 | 2016-10-21 |
| 1427506443 | Chrystal Jenkins | Point of Service | 26 Millett St, Unit #1, Gloucester, MA 01930-2846 | 2016-09-19 |
| 1083168132 | Mendon Family Dentistry | Point of Service | 14 Hastings St, Mendon, MA 01756-1079 | 2016-08-06 |
| 1770969024 | Beacon Aba Services | Point of Service | 5111 Avalon Dr, Weymouth, MA 02188-4614 | 2015-08-09 |
| 1679958573 | Any Lab Draw Now LLC | Point of Service | 64 Lambert Ave, Apt 1, Roxbury, MA 02119-1737 | 2015-07-21 |
| 1447637236 | Patrick Assioun Dmd PC | Point of Service | 150 Coolidge Rd, Berlin, MA 01503-1326 | 2015-04-30 |
| 1407257207 | New England Family Dentistry | Point of Service | 70 Westgate Drive, Brockton, MA 02301 | 2014-09-11 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.