Organization · Type 2 NPI
Pediatric Dental Group
Point of Service · Northborough, MA
NPI number
1447700497
Active
Practice location
1 E Main St Ste 104
Northborough, MA 01532-1662
Mailing address
5 Mount Royal Ave, Suite 300
Marlborough, MA 01752-1981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
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.
About NPI 1447700497
Pediatric Dental Group's National Provider Identifier is 1447700497, issued on Oct 13, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Northborough, MA. The record was last updated on Jan 28, 2026.