IVORY DENTAL PC (NPI# 1770902090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770902090 |
| Entity Type | Organization |
| Organization Name | IVORY DENTAL PC |
| Practice Address |
176 Main St Unit #210 Southbridge MA 01550-2561 |
| Practice Telephone | 9089553699 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | DR. SUSHMA REDDY DONTHI REDDY (PRESIDENT) |
| Authorized Official Telephone | 9089553699 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1855451 | MA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | IVORY DENTAL PC | 176 Main St, Unit 210, Southbridge, MA 01550 |
| Street Address |
176 MAIN ST UNIT #210 |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347441 | Jessica Chouinard | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2020-08-19 |
| 1841808581 | Zacharie Duvarney | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2020-07-20 |
| 1730706300 | Matthew Lubomirski | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2020-06-30 |
| 1144843558 | William Witherspoon | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2020-05-20 |
| 1346706900 | Jennifer Zadoyan | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2019-02-19 |
| 1104300219 | Jo Ella Tarbutton | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2018-09-25 |
| 1720561319 | Victoria Dodge | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2018-09-11 |
| 1659852291 | Christian Patrick Kelley | Social Worker | 176 Main St, Southbridge, MA 01550-2561 | 2018-08-22 |
| 1518400019 | Julie Whitman | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2016-12-01 |
| 1356723472 | Nicole Kemezis | Counselor | 176 Main St, Southbridge, MA 01550-2561 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922360908 | Han Solo Dmd, PC. | Dentist | 44 Everett Street, Southbridge, MA 01550-2686 | 2012-06-14 |
| 1861610800 | Michael Peter Koprowski | Dentist | 39 Elm St Ste 205, Southbridge, MA 01550-2644 | 2007-04-23 |
| 1447398227 | Mario Alejandro Montoya | Dentist | 32 Orchard St, Southbridge, MA 01550-4004 | 2007-02-02 |
| 1336297753 | Anthony G Dimatteo | Dentist | 914 Main Street, Southbridge, MA 01550 | 2007-01-08 |
| 1184284549 | Southbridge Dental LLC | Dentist | 305 Main St, Southbridge, MA 01550-3726 | 2019-06-18 |
| 1366936841 | James Park D.m.d | Dentist | 44 Everett St, Southbridge, MA 01550-2620 | 2018-06-19 |
| 1942736434 | Kinnar Shah, Dmd, PC | Dentist | 305 Main St, Southbridge, MA 01550-3726 | 2017-05-04 |
| 1841553880 | James Park | Dentist | 44 Everett St, Southbridge, MA 01550 | 2012-06-22 |
| 1578766630 | Allen Jay Rubin | Dentist | 305 Main St, Southbridge, MA 01550 | 2007-06-07 |
| 1306994702 | Anthony G. Dimatteo Dds | Dentist | 914 Main Street, Southbridge, MA 01550 | 2007-01-08 |
| Find all providers in SOUTHBRIDGE | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
Please comment or provide details below to improve the information on IVORY DENTAL PC.
| 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.