Individual provider · Type 1 NPI

Alexandra Penta, DMD

Pediatric Dentistry · Worcester, MA

NPI number 1629641907 Active

Practice location

102 Shore Dr Ste 302
Worcester, MA 01605-3154

Mailing address

899 Congress St Apt 602
Boston, MA 02210-2818

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS043482 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDN1859765 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1629641907

Alexandra Penta, DMD's National Provider Identifier is 1629641907, issued on Jul 23, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Worcester, MA. The record was last updated on Jan 29, 2024.