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NPI 1164348488

NPI 1164348488 : LEOMINSTER COMMUNITY DENTAL SERVICES INC : LEOMINSTER, MA

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General NPI Number Information
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    NPI Number           |    1164348488
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEOMINSTER COMMUNITY DENTAL SERVICES INC 
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Dates
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    Enumeration Date     |    06/29/2026
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    Last Update Date     |    06/29/2026
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Provider Practice Location Address
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    Address Line         |    1079 CENTRAL ST UNIT B 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4805
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    Country              |    US
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    Telephone            |    978-786-3343
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    Fax                  |    978-786-3345
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Provider Business Mailing Address
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    Address Line         |    1079 CENTRAL ST UNIT B 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4805
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    Country              |    US
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    Telephone            |    978-786-3343
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    Fax                  |    978-786-3345
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. ELIZABETH  NFOR 
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    Credential           |    DHSC, MPH, RDH
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    Telephone            |    978-696-7726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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