Boulder Brook Dental, LLC
Dentist, General Practice in Ludlow, Massachusetts
1053350470- Practice location
- 104 Dowd CT, Ludlow, MA 01056-1743
- Phone
- 413-547-8085
- Fax
- 413-547-8085
- Last updated
- August 22, 2020
Boulder Brook Dental, LLC is a healthcare organization based in Ludlow, MA. Boulder Brook Dental, LLC practices in Ludlow, MA. The NPI Number for Boulder Brook Dental, LLC is 1053350470 and holds a License No. 17956 (MA). The current practice location address for Boulder Brook Dental, LLC is 104 Dowd CT, Ludlow, MA 01056-1743 and can be reached out via phone at 413-547-8085 and via fax at 413-547-8085.
Provider Profile Details
- NPI Number
- 1053350470
- Provider Name
- Boulder Brook Dental, LLC
- Provider Entity Type
- Organization
- Address
- 104 Dowd CT, Ludlow, MA 01056-1743
- Phone Number
- 413-547-8085
- Fax Number
- 413-547-8085
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Kelly A Chase, DMD · Mbr/Owner · 413-547-8085
- Provider Enumeration Date
- June 5, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Dowd CT
Ludlow, MA 01056-1743 - City
- Ludlow
- State
- Massachusetts
- Zip
- 01056-1743
- Phone Number
- 413-547-8085
- Fax Number
- 413-547-8085
Provider Business Mailing Address Details
- Address
- 104 Dowd CT
Ludlow, MA 01056-1743 - City
- Ludlow
- State
- MA
- Zip
- 01056-1743
- Phone Number
- 413-547-8085
- Fax Number
- 413-547-8085
License Information
- License Number
- 17956
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Boulder Brook Dental, LLC?
The NPI number of Boulder Brook Dental, LLC is 1053350470. It was assigned on June 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Boulder Brook Dental, LLC?
Boulder Brook Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17956.
Where does Boulder Brook Dental, LLC practice?
The practice location is 104 Dowd CT, Ludlow, MA 01056-1743. The office can be reached at 413-547-8085 (phone) or 413-547-8085 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053350470 directly on the NPPES registry website.