PEDIATRIC DENTAL CENTER OF MANSFIELD (NPI# 1982876942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982876942 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL CENTER OF MANSFIELD |
| Practice Address |
905b S Main St Mansfield MA 02048-3154 |
| Practice Telephone | 5083373307 |
| Practice Fax Number | 5083373317 |
| Mailing Telephone | 5083373307 |
| Mailing Fax Number | 5083373317 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | ROBERT J. MOREAU (DENTIST) |
| Authorized Official Telephone | 5083373307 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
18512 | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003272006 | Pediatric Dental Center of Mansfield | Dentist | 1029 Pleasant St, Suite 103, Bridgewater, MA 02324-2301 | 2016-01-06 |
| Street Address |
905B S MAIN ST |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336118 | Hometown Dental | Clinic/Center | 407 E Howard St, Mansfield, AR 72944-0067 | 2017-06-20 |
| 1770977167 | Dbk Group Pllc | Clinic/Center | 1560 E. Debbie Lane, Suite 108, Mansfield, TX 76063 | 2015-03-24 |
| 1730358912 | Rose Park Dental | Clinic/Center | 217 N Walnut Creek Dr, Suite A, Mansfield, TX 76063-1791 | 2008-02-21 |
| 1558576116 | Third Street Community Clinic, Inc | Clinic/Center | 770 Balgreen Dr Ste 207, Mansfield, OH 44906-4106 | 2007-05-14 |
| 1407470024 | Harris Mda, Pllc | Clinic/Center | 1700 Country Club Dr, Mansfield, TX 76063-2615 | 2020-05-29 |
| 1134693955 | 42 North Dental Care, LLC | Clinic/Center | 292 Chauncy St # 150, Mansfield, MA 02048-1203 | 2019-01-15 |
| 1194260588 | Mansfield Periodontics and Dental Implants, Pllc | Clinic/Center | 100 Copeland Dr, Unit 3, Mansfield, MA 02048-1245 | 2016-12-21 |
| 1447619788 | Third Street Community Clinic Inc | Clinic/Center | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-02-15 |
| 1568774503 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
| 1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC DENTAL CENTER OF MANSFIELD.
| 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.