Centralmassdentalgroup PC
Centralmassdentalgroup PC is a healthcare organization registered as Dental Clinic/Center in Gardner, MA, holding Type 2 (organization) NPI 1558964957 since 2020. The authorized official on file is Dong Kim, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558964957 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centralmassdentalgroup PC |
| Practice address | 49 CROSS ST, Gardner, MA, 01440 |
| Phone | 9786325659 |
| Enumeration date | 2020-11-18 |
| Last updated in NPPES | 2020-11-18 |
Authorized official
| Name | Dong Kim |
|---|---|
| Title | Owner |
| Phone | 9786325659 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Centralmassdentalgroup PC NPI: 1558964957 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 49 CROSS ST, Gardner, MA, 01440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730443219 | Ashley Hankinson | Individual | General Practice Dentistry | Gardner, MA |
| 1750721544 | Divyanshu Soni | Individual | General Practice Dentistry | Gardner, MA |
| 1629778345 | Aslan Tangestanipour | Individual | Dentist | Gardner, MA |
Verify this record
Cross-check NPI 1558964957 against the authoritative CMS record: view Centralmassdentalgroup PC 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
Who is the authorized official for Centralmassdentalgroup PC?
What is the NPI number for Centralmassdentalgroup PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-18.