Healthcare Provider Details
I. General information
NPI: 1982587374
Provider Name (Legal Business Name): CUDDY FAMILY DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27 MARKET ST
ROCKLAND MA
02370-2601
US
IV. Provider business mailing address
27 MARKET ST
ROCKLAND MA
02370-2601
US
V. Phone/Fax
- Phone: 781-878-8811
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAYLA
CUDDY
Title or Position: OWNER, DENTIST
Credential: DMD
Phone: 617-909-3512