Organization
DENTAL CARE SPECIALTIES 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
366 COOLEY ST, SPRINGFIELD, MA 01128-1144
(413) 783-0452
(413) 783-0836
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(413) 783-0452
(413) 783-0836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20209
LICENSE
MA
Enumeration date
03/18/2020
Last updated
03/11/2026
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