Provider Demographics
NPI:1952025926
Name:CORDIAL DENTAL , PLLC
Entity Type:Organization
Organization Name:CORDIAL DENTAL , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:SANSRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-268-5374
Mailing Address - Street 1:201 AVALON WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-7801
Mailing Address - Country:US
Mailing Address - Phone:347-268-5374
Mailing Address - Fax:
Practice Address - Street 1:130 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2430
Practice Address - Country:US
Practice Address - Phone:347-268-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental