Active NPIOrganization

Baystate Dental PC

Dentist, General Practice in Springfield, Massachusetts

NPI Number1194932368
Practice location
1795 Main St, Springfield, MA 01103-1077
Fax
—
Last updated
August 22, 2020

Baystate Dental PC is a healthcare organization based in Springfield, MA. Baystate Dental PC practices in Springfield, MA. The NPI Number for Baystate Dental PC is 1194932368 and holds a License No. 15623 (MA). The current practice location address for Baystate Dental PC is 1795 Main St, Springfield, MA 01103-1077 and can be reached out via phone at 413-733-6651.

Provider Profile Details

NPI Number
1194932368
Provider Name
Baystate Dental PC
Provider Entity Type
Organization
Address
1795 Main St, Springfield, MA 01103-1077
Phone Number
413-733-6651
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mrs. Ann Marie Santos · Office Manager · 413-733-6651
Provider Enumeration Date
May 17, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1795 Main St
Springfield, MA 01103-1077
Zip
01103-1077
Phone Number
413-733-6651
Springfield, MA 01103Get directions →

Provider Business Mailing Address Details

Address
1795 Main St
Springfield, MA 01103-1077
City
Springfield
State
MA
Zip
01103-1077
Phone Number
413-733-6651

License Information

License Number
15623
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 Baystate Dental PC?

The NPI number of Baystate Dental PC is 1194932368. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Baystate Dental PC?

Baystate Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 15623.

Where does Baystate Dental PC practice?

The practice location is 1795 Main St, Springfield, MA 01103-1077. The office can be reached at 413-733-6651 (phone).

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 1194932368 directly on the NPPES registry website.

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