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Organization
WORCESTER DENTISTRY AND BRACES PC
Active
Organization
WORCESTER DENTISTRY AND BRACES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
544 SOUTHBRIDGE ST STE 1, WORCESTER, MA 01610-1757
(508) 492-3300
(508) 492-3301
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 492-3300
(508) 492-3301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/18/2021
Last updated
03/11/2026
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