Organization
LEICESTER DENTAL ASSOCIATES
Active
Other names
John J Millette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J MILLETTE DMD (OWNER)
(508) 892-4882
Entity
Organization
Contact information
Practice address
119 S MAIN ST, LEICESTER, MA 01524-1403
(508) 892-4882
(508) 892-4279
Mailing address
119 S MAIN ST, LEICESTER, MA 01524-1403
(508) 892-4882
(508) 892-4279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17984
MA
1223G0001X
General Practice Dentistry
96710
MA
1223P0300X
Periodontics
20602
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19388
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11875
BCBS
MA
Enumeration date
07/06/2006
Last updated
09/11/2025
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