OrganizationActive
Cedar Brook Pediatric Dentistry PLLC
NPI 1003579277 · Pediatric Dentistry · Southborough, MA
Cedar Brook Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Southborough, MA (NPI 1003579277).
Provider details
- NPI number
- 1003579277
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Naomi La, Practice Owner(617) 817-6346
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
162 Cordaville Rd Ste 175
Southborough, MA 01772-1838
Phone: (617) 817-6346
Street-level locationGet directions
Mailing address
302 Bay Dr
Northborough, MA 01532-3403
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Frequently asked questions
- What is Cedar Brook Pediatric Dentistry PLLC's NPI number?
- Cedar Brook Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1003579277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Brook Pediatric Dentistry PLLC?
- Cedar Brook Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Cedar Brook Pediatric Dentistry PLLC located?
- Cedar Brook Pediatric Dentistry PLLC's practice location on file with NPPES is 162 Cordaville Rd Ste 175, Southborough, MA 01772-1838.
- What is Cedar Brook Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cedar Brook Pediatric Dentistry PLLC is (617) 817-6346.
- Who is the authorized official for Cedar Brook Pediatric Dentistry PLLC?
- The authorized official listed on Cedar Brook Pediatric Dentistry PLLC's NPPES record is Naomi La, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Brook Pediatric Dentistry PLLC's NPI active?
- Yes — Cedar Brook Pediatric Dentistry PLLC's NPI (1003579277) is active in the NPPES registry as of the last update on 2021-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.