Active NPIIndividual provider

Dr. Jennifer G Walsh, DMD

Dentist, General Practice in East Longmeadow, Massachusetts

NPI Number1184691495
Practice location
200 N Main St, Suite 1104, East Longmeadow, MA 01028-2392
Fax
413-525-8999
Last updated
July 13, 2026

Jennifer Gavrillen Walsh is a Dentist, General Practice based in East Longmeadow, MA. Jennifer Gavrillen Walsh practices in East Longmeadow, MA and has the professional credentials of DMD. The NPI Number for Jennifer Gavrillen Walsh is 1184691495 and holds a License No. 21320 (MA). The current practice location address for Jennifer Gavrillen Walsh is 200 N Main St, Suite 1104, East Longmeadow, MA 01028-2392 and can be reached out via phone at 413-525-6123 and via fax at 413-525-8999.

Provider Profile Details

NPI Number
1184691495
Provider Name
Jennifer Gavrillen Walsh
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
200 N Main St, Suite 1104, East Longmeadow, MA 01028-2392
Phone Number
413-525-6123
Fax Number
413-525-8999
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Other Names
Dr. Jennifer Jameson Gavrillen, DMD (Former Name)
Provider Enumeration Date
March 6, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 N Main St
Suite 1104
East Longmeadow, MA 01028-2392
Zip
01028-2392
Phone Number
413-525-6123
Fax Number
413-525-8999
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
200 N Main St
Suite 1104
East Longmeadow, MA 01028-2392
City
East Longmeadow
State
MA
Zip
01028-2392
Phone Number
413-525-6123
Fax Number
413-525-8999

License Information

License Number
21320
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jennifer G Walsh, DMD?

The NPI number of Dr. Jennifer G Walsh, DMD is 1184691495. It was assigned on March 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer G Walsh, DMD?

Dr. Jennifer G Walsh, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21320.

Where does Dr. Jennifer G Walsh, DMD practice?

The practice location is 200 N Main St, Suite 1104, East Longmeadow, MA 01028-2392. The office can be reached at 413-525-6123 (phone) or 413-525-8999 (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 1184691495 directly on the NPPES registry website.

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