Distinctive Dental Associates
Distinctive Dental Associates is a healthcare organization registered as Dentist in Worcester, MA, holding Type 2 (organization) NPI 1114136504 since 2007. The authorized official on file is Stephen Waxman, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114136504 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Distinctive Dental Associates |
| Other name | <Unavail> |
| Practice address | 255 PARK AVE, SUITE 904, Worcester, MA, 01609 |
| Phone | 5087929010 |
| Fax | 5087547856 |
| Enumeration date | 2007-05-22 |
| Last updated in NPPES | 2008-06-18 |
Authorized official
| Name | Stephen Waxman |
|---|---|
| Title | Dentist |
| Phone | 5087929010 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Distinctive Dental Associates NPI: 1114136504 Taxonomy: 122300000X (Dentist) Address: 255 PARK AVE, SUITE 904, Worcester, MA, 01609
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578567228 | Peter Audette | Individual | General Practice Dentistry | Worcester, MA |
| 1629068820 | Philip Cabrera | Individual | Endodontics | Worcester, MA |
| 1619942679 | Walter Goljan | Individual | Internal Medicine Physician | Worcester, MA |
| 1063488567 | James Hurowitz | Individual | Internal Medicine Physician | Worcester, MA |
| 1649209487 | Sergio Guzman | Individual | Periodontics | Worcester, MA |
| 1619907094 | Amy Kendrick | Individual | Nurse Practitioner | Worcester, MA |
| 1821005562 | Michael Shustak | Individual | General Practice Dentistry | Worcester, MA |
| 1205843893 | Robert Greene | Individual | Podiatrist | Worcester, MA |
Verify this record
Cross-check NPI 1114136504 against the authoritative CMS record: view Distinctive Dental Associates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Distinctive Dental Associates?
Who is the authorized official for Distinctive Dental Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-18.