Dr. Christopher R Desesa, DMD
Dentist, Oral and Maxillofacial Surgery in West Springfield, Massachusetts
1154617686- Practice location
- 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3258
- Phone
- 413-788-9621
- Fax
- 413-788-0103
- Last updated
- September 23, 2020
Christopher Robert Desesa is a Dentist, Oral and Maxillofacial Surgery based in West Springfield, MA. Christopher Robert Desesa practices in West Springfield, MA and has the professional credentials of DMD. The NPI Number for Christopher Robert Desesa is 1154617686 and holds a License No. 011521 (CT). The current practice location address for Christopher Robert Desesa is 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3258 and can be reached out via phone at 413-788-9621 and via fax at 413-788-0103.
Provider Profile Details
- NPI Number
- 1154617686
- Provider Name
- Christopher Robert Desesa
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3258
- Phone Number
- 413-788-9621
- Fax Number
- 413-788-0103
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 23, 2011
- Last Update Date
- September 23, 2020
- Certification Date
- September 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Van Deene Ave
Suite 201
West Springfield, MA 01089-3258 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-3258
- Phone Number
- 413-788-9621
- Fax Number
- 413-788-0103
Provider Business Mailing Address Details
- Address
- 75 Van Deene Ave
Suite 201
West Springfield, MA 01089-3258 - City
- West Springfield
- State
- MA
- Zip
- 01089-3258
- Phone Number
- 413-788-9621
- Fax Number
- 413-788-0103
License Information
- License Number (1)
- 011521
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- DN1856824
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Dr. Christopher R Desesa, DMD?
The NPI number of Dr. Christopher R Desesa, DMD is 1154617686. It was assigned on June 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Christopher R Desesa, DMD?
Dr. Christopher R Desesa, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 011521.
Where does Dr. Christopher R Desesa, DMD practice?
The practice location is 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3258. The office can be reached at 413-788-9621 (phone) or 413-788-0103 (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 1154617686 directly on the NPPES registry website.