Provider Demographics
NPI:1710901459
Name:UNIQUE DENTAL CENTER PC
Entity Type:Organization
Organization Name:UNIQUE DENTAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MNGR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSENAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-399-8800
Mailing Address - Street 1:40 CUMBERLAND AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4445
Mailing Address - Country:US
Mailing Address - Phone:508-399-8800
Mailing Address - Fax:508-399-7744
Practice Address - Street 1:40 CUMBERLAND AVE
Practice Address - Street 2:STE 5
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-4445
Practice Address - Country:US
Practice Address - Phone:508-399-8800
Practice Address - Fax:508-399-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19681122300000X
MA21181122300000X
MA21653122300000X
MA194351223E0200X
MA209611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty