Provider Demographics
NPI:1154298065
Name:COSMO DENTAL
Entity type:Organization
Organization Name:COSMO DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANSRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-268-5374
Mailing Address - Street 1:130 LINCOLN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2430
Mailing Address - Country:US
Mailing Address - Phone:347-268-5374
Mailing Address - Fax:508-970-7028
Practice Address - Street 1:101 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1354
Practice Address - Country:US
Practice Address - Phone:347-268-5374
Practice Address - Fax:508-970-7028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty