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NPI Code Detail

MEDICARE: METROWEST DENTAL CENTER, INC.

MEDICARE: METROWEST DENTAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist
21223P0221XPediatric Dentistry
31223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1194059725
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROWEST DENTAL CENTER, INC.
Provider Business Mailing Address
First Line : 116 MAIN ST
Second Line : SUITE 1
City : MARLBOROUGH
State : MA
Zip : 01752-3811
Country : US
Telephone Number : 508-485-2001
Fax Number : 508-485-2201
Provider Business Practice Location Address
First Line : 116 MAIN ST
Second Line : SUITE 1
City : MARLBOROUGH
State : MA
Zip : 01752-3811
Country : US
Telephone Number : 508-485-2001
Fax Number : 508-485-2201
Authorized Official
Title or Position : CHIEF REVENUE OFFICER
Name : TODD PACHELLO
Credential :
Telephone Number : 720-475-6482
Provider Enumeration Date : 09/30/2009
Last Update Date : 03/11/2026

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Directions to “METROWEST DENTAL CENTER, INC. ” Practice Location

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