Healthcare Provider Details

I. General information

NPI: 1881614238
Provider Name (Legal Business Name): THE DENTAL PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 LYMAN ST SUITE 240
WESTBOROUGH MA
01581-1482
US

IV. Provider business mailing address

24 LYMAN ST SUITE 240
WESTBOROUGH MA
01581-1482
US

V. Phone/Fax

Practice location:
  • Phone: 508-366-0122
  • Fax: 508-366-2522
Mailing address:
  • Phone: 508-366-0122
  • Fax: 508-366-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number20871
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number18840
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number20782
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number19945
License Number StateMA

VIII. Authorized Official

Name: MRS. DEBORAH P LAPRIORE
Title or Position: OFFICE MANAGER
Credential:
Phone: 508-366-0122