Organization
ELITE DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATHISH L GOBICHETTYPALAYAM DDS (PRESIDENT)
(617) 980-4734
Entity
Organization
Contact information
Practice address
129 HIGH STREET, TAUNTON, MA 02780
(508) 822-9387
(508) 880-4999
Mailing address
129 HIGH STREET, TAUNTON, MA 02780
(508) 822-9387
(508) 880-4999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
22099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22099
MA DENTAL LIC
MA
Enumeration date
09/05/2013
Last updated
02/25/2026
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