This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Endodontics |
1223E0200X | |||
General Practice |
1223G0001X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1376944165 |
||||
| LBN Legal business name | NEW ENGLAND FAMILY DENTISTRY, PC | ||||
| Authorized official | TODD PACHELLO - (PRESIDENT CHIEF REVENUE OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/11/2014 | ||||
| Last updated | 01/28/2026 - About 4 months ago | ||||
| Identifiers |
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