Commonwealth Mobile Oral Health Services, Llc
Dental Clinic
12 Colleen Dr, Lakeville
Massachusetts, 02347-1663
508-947-0111 508-743-7827
Maps & DirectionsCommonwealth Mobile Oral Health Services, Llc is a Dental Clinic in Lakeville, Massachusetts. It is located at 12 Colleen Dr, Lakeville, MA and its contact number is 508-947-0111. The authorized person for Commonwealth Mobile Oral Health Services, Llc is Dr. Mark J Doherty
who is Director of the clinic and their contact number is 508-947-0111. The primary license number for Commonwealth Mobile Oral Health Services, Llc is 12683 (General Practice) in Massachusetts.
Commonwealth Mobile Oral Health Services, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Commonwealth Mobile Oral Health Services, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Commonwealth Mobile Oral Health Services, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 12 Colleen Dr, Lakeville,
Massachusetts, 02347-1663 |
| Phone: | 508-947-0111 |
| Fax: | 508-743-7827 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark J Doherty |
| Position: | Director |
| Contact Number: | 508-947-0111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Commonwealth Mobile Oral Health Services, Llc clinic are as mentioned below.
| NPI Number: | 1215081625 |
| NPI Enumeration Date: | 22 Jan, 2007 |
| NPI Last Update On: | 19 Jul, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Commonwealth Mobile Oral Health Services, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 12683 | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9756892 | Medicaid | Massachusetts | |
| 01730905 | Medicaid | New York | |
| 01761953 | Medicaid | New York | |
| 30010445 | Medicaid | New Hampshire | |
| 0245844 | Medicaid | Massachusetts | |
| 30010446 | Medicaid | New Hampshire | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Commonwealth Mobile Oral Health Services, Llc
12 Colleen Dr,
Lakeville, Massachusetts |
| Zip: | 02347-1663 |
| Phone Number: | 508-947-0111 |
| Fax Number: | 508-743-7827 |
Patients can reach Commonwealth Mobile Oral Health Services, Llc at
12 Colleen Dr, Lakeville, Massachusetts or can
call to book an appointment on 508-947-0111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.