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Mitra Marvasti-sitterly
General Practice Dentistry in Chicopee, Massachusetts
NPI 1154065514

Mitra Marvasti-sitterly is a General Practice Dentistry based in Glastonbury, MA and is specialized in General Practice. Mitra Marvasti-sitterly practices in Chicopee, MA. The NPI Number for Mitra Marvasti-sitterly is 1154065514 and holds a License No. 13758 (Massachusetts).

The current practice location address for Mitra Marvasti-sitterly is 21 Bay State Rd, Chicopee, MA and can be reached out via phone at 860-692-8127. You can also correspond with Mitra Marvasti-sitterly through the mailing address at 47 PARTRIDGE LNDG, GLASTONBURY, CT - 06033-2848 (mailing address contact number: ).

Location: 21 Bay State Rd, Chicopee, MA, 06033-2848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154065514
Provider Name
Mitra Marvasti-sitterly
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Bay State Rd, Chicopee, MA, 06033-2848
Phone Number
860-692-8127
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
21 Bay State Rd
City
Chicopee
State
Massachusetts
Zip
01020-1521
Phone Number
860-692-8127
Fax Number
person
Provider Business Mailing Address Details
Address
21 Bay State Rd
City
Chicopee
State
Massachusetts
Zip
01020-1521
Phone Number
860-692-8127
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1859415 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13758 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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