OrganizationActive
Massachusetts Dental Professionals, P.C.
NPI 1336394006 · General Practice Dentistry · Brewster, MA
Provider details
- NPI number
- 1336394006
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Massachusetts Dental Professionals, P.C.
- Organization subpart
- Yes
- Authorized official
- Heather Pruemer, Credentialing Team Lead(217) 540-8434
- License
- 22060 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
11 Bay State Ct
Brewster, MA 02631-2120
Phone: (508) 255-0111
Fax: (508) 255-1160
Street-level locationGet directions
Mailing address
11 Bay State Ct
Brewster, MA 02631-2120
Other names (DBA / former)
- Doing business as
- East Brewster Dental
Registry dates
- Enumerated
- 2008-11-23
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.