Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629641907 Individual Practitioner Female Practitioner

Dr. Alexandra Penta , DMD

Dentist - Pediatric Dentistry • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Alexandra Penta, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Worcester, MA. Practice services are available at 102 SHORE DR STE 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Shore Dr Ste 302

Worcester, MA 016053154

Telephone 5088549994
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Worcester, MA (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-29
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MA DN1859765

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS043482

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Patrick Mcgary , DMD

Dentist - Pediatric Dentistry

NPI 1215196704

Doctor of Dental Medicine

Dr. Anna Ross , DMD

Dentist - Pediatric Dentistry

NPI 1588928394

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 29, 2024

Registered at 102 SHORE DR STE 302, WORCESTER, MA 016053154 (Tel: 5088549994)

📍
Updated Business Mailing Address January 29, 2024

Registered at 899 CONGRESS ST APT 602, BOSTON, MA 022102818 (Tel: 6173470349)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2022

Dentist (License #DS043482 in PA)

NPI Profile Active July 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2021

Registered at 240 S 40TH STREET, UPENN DEPARTMENT OF DENTISTRY, PHILADELPHIA, PA 191046030 (Tel: 2158986555)

📍
Updated Business Mailing Address July 23, 2021

Registered at 240 S 40TH STREET, UPENN DEPARTMENT OF DENTISTRY, PHILADELPHIA, PA 191046030

👤
Provider Name / Credentials Updated July 23, 2021

Recorded as ALEXANDRA PENTA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629641907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2021
Last Update: January 29, 2024
Sole Proprietor: No

Mailing Address

899 Congress St Apt 602

Boston, MA 022102818

Phone: 6173470349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.