Healthcare Provider Details

I. General information

NPI: 1164348488
Provider Name (Legal Business Name): LEOMINSTER COMMUNITY DENTAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1079 CENTRAL ST UNIT B
LEOMINSTER MA
01453-4805
US

IV. Provider business mailing address

1079 CENTRAL ST UNIT B
LEOMINSTER MA
01453-4805
US

V. Phone/Fax

Practice location:
  • Phone: 978-786-3343
  • Fax: 978-786-3345
Mailing address:
  • Phone: 978-786-3343
  • Fax: 978-786-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH NFOR
Title or Position: CEO
Credential: DHSC, MPH, RDH
Phone: 978-696-7726