# MARLBOROUGH DENTAL SPECIALTIES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356933188
- **Authorized official:** MS. TODD PACHELLO (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (720) 475-6482

## Contact information

- **Practice address:** 544 SOUTHBRIDGE ST, WORCESTER, MA 01610-1757
- **Practice address phone:** (774) 374-2327
- **Practice address fax:** (774) 374-2328
- **Mailing address:** 5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
- **Mailing address phone:** (508) 872-3072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 03/11/2026