Healthcare Provider Details

I. General information

NPI: 1194649491
Provider Name (Legal Business Name): CENTRAL DENTAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 WASHINGTON ST STE 1
NORWOOD MA
02062-2343
US

IV. Provider business mailing address

470 WASHINGTON ST STE 1
NORWOOD MA
02062-2343
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-3566
  • Fax: 781-769-0992
Mailing address:
  • Phone: 781-769-3566
  • Fax: 781-769-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PRIYANKA AMY PATEL
Title or Position: MANAGING MEMBER
Credential: DMD
Phone: 781-769-3566