| Tufts Dental Facility Glavin | |
|
150 Goddard Memorial Dr Ste 2 Worcester MA 01603-1260 | |
| (508) 751-6746 | |
| (508) 756-3405 |
| Full Name | Tufts Dental Facility Glavin |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 Goddard Memorial Dr Ste 2, Worcester, Massachusetts |
| Authorized Official Name and Position | John Patrick Morgan (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7818996020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Dental Facility Glavin 150 Goddard Memorial Dr Ste 2 Worcester MA 01603-1260 Ph: (508) 751-6746 | Tufts Dental Facility Glavin 150 Goddard Memorial Dr Ste 2 Worcester MA 01603-1260 Ph: (508) 751-6746 |
| NPI Number | 1104040757 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104040757 | NPI | - | NPPES |
| 0272213 | Other | MA | MASSHEALTH PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |
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