Healthcare Provider Details

I. General information

NPI: 1235957333
Provider Name (Legal Business Name): BLERTA PAPI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 PARK AVE
WORCESTER MA
01610-1253
US

IV. Provider business mailing address

456 PARK AVE
WORCESTER MA
01610-1253
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-1444
  • Fax:
Mailing address:
  • Phone: 508-755-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10001197
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: