OrganizationActive
Commonwealth Periodontics
NPI 1023425808 · Periodontics · Worcester, MA
Provider details
- NPI number
- 1023425808
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Susan Depatie, Director of Operations(508) 754-1122
- License
- 20952 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
48 Elm St
Worcester, MA 01609-2541
Phone: (150) 875-4122
Fax: (508) 754-9378
Street-level locationGet directions
Mailing address
48 Elm St
Worcester, MA 01609-2541
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.