Organization
FALL RIVER 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
90 WILLIAM S CANNING BLVD, FALL RIVER, MA 02721-2338
(508) 689-4010
(508) 689-4020
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 872-3072
(508) 872-0781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/21/2019
Last updated
03/11/2026
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