Steven Direda II, DMD
Dentist in Walpole, MA. Individual provider (NPI-1).
NPI number1184252124
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1184252124
- Entity type
- Individual (NPI-1)
- Name
- Steven Direda II
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN1859069 | MA | Yes |
| 1223G0001X | Dentist, General Practice | PENDING | MA |
Practice location
1428 Main St Ste 1Walpole, MA 02081-1729
Phone 508-668-8008
Mailing address
100 S Quinsigamond AveShrewsbury, MA 01545-4258
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Dentist providers in Walpole · All 537 providers in Walpole
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