# LEICESTER DENTAL ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** John J Millette
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336171115
- **Authorized official:** DR. JOHN J MILLETTE DMD (OWNER)
- **Authorized official phone:** (508) 892-4882

## Contact information

- **Practice address:** 119 S MAIN ST, LEICESTER, MA 01524-1403
- **Practice address phone:** (508) 892-4882
- **Practice address fax:** (508) 892-4279
- **Mailing address:** 119 S MAIN ST, LEICESTER, MA 01524-1403
- **Mailing address phone:** (508) 892-4882
- **Mailing address fax:** (508) 892-4279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17984 | MA | — |
| 1223G0001X | General Practice Dentistry | 96710 | MA | — |
| 1223P0300X | Periodontics | 20602 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19388 | MA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 17965 | MA | — |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 09/11/2025