Premier Family Dental Group, P.C.

LBN: Premier Family Dental Group, P.C.
Premier Family Dental Group, P.C. is an health care organization with primary practice located at 610 W Boylston St , Worcester MA 01606-2030. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Premier Family Dental Group, P.C. can be contacted via phone (508) 853-3394, or through Bamford, Galina via phone (508) 853-3394.

Contact Information

Primary practice address
610 W Boylston St Worcester MA 01606-2030
Phone: (508) 853-3394
Fax: (508) 853-6842
Website:
Map and Directions
Authorized official contact:
Name: Bamford, Galina Doctor of Dental Medicine (DMD)
Phone: (508) 853-3394

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20013 Massachusetts

Profile Details

NPI number 1598876625
LBN Legal business name Premier Family Dental Group, P.C.
DBA Doing business as
Authorized official Bamford, Galina Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598876625 NPPES
Massachusetts MEDICAID 9719008

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