Organization
SIMPLY ORTHODONTICS AND PEDIATRICS WORCESTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSSAM ALKHOURY DMD (OWNER)
(508) 505-5040
Entity
Organization
Contact information
Practice address
200 LINCOLN ST STE 5, WORCESTER, MA 01605-2528
(508) 589-8262
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
04/29/2025
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