Dental Assoicates of Gloucester, LLC
NPI 1053342972ActiveOrganization· Dentist, General Practice· Gloucester, MA
Dentist, General Practice in Gloucester, Massachusetts, registered in NPPES in July 2006. The authorized official on file is Robert Anthony Russo, D.M.D., Partner.
Overview
| NPI | 1053342972 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 20806 | MA |
| Dentist, General Practice | 1223G0001X | 12116 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Gloucester
- 1649901877
- 1679745988
- 1346364494
- 1699502880
- 1154523413
- 1952401465
- 1871575902
- 1578660189
- 1104085281
- 1306550116
- 1891720066
- 1881775534