| Broadmeadow Orthodontics | |
|
100 Mlk Jr Blvd Ste 500 Worcester MA 01608-1209 | |
| (508) 841-3908 | |
| Not Available |
| Full Name | Broadmeadow Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 100 Mlk Jr Blvd Ste 500, Worcester, Massachusetts |
| Authorized Official Name and Position | Benjamin Roth (PRESIDENT) |
| Authorized Official Contact | 5088413908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadmeadow Orthodontics 100 Mlk Jr Blvd Ste 500 Worcester MA 01608-1209 Ph: (508) 841-3908 | Broadmeadow Orthodontics 100 Mlk Jr Blvd Ste 500 Worcester MA 01608-1209 Ph: (508) 841-3908 |
| NPI Number | 1144136227 |
|---|---|
| Provider Enumeration Date | 08/20/2026 |
| Last Update Date | 08/20/2026 |
| Certification Date | 08/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144136227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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