OrganizationActive
Cedar Brook Pediatric Dentistry PLLC
NPI 1003579277 · Pediatric Dentistry · Southborough, MA
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(61/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.