Baystate Dental Practice, LLC
Dentist, General Practice in Springfield, Massachusetts
1295156636- Practice location
- 1795 Main St, Suite 215, Springfield, MA 01103-1077
- Phone
- 413-733-6651
- Fax
- 413-733-6653
- Last updated
- January 13, 2014
Baystate Dental Practice, LLC is a healthcare organization based in Springfield, MA. Baystate Dental Practice, LLC practices in Springfield, MA. The NPI Number for Baystate Dental Practice, LLC is 1295156636 and holds a License No. DN15623 (MA). The current practice location address for Baystate Dental Practice, LLC is 1795 Main St, Suite 215, Springfield, MA 01103-1077 and can be reached out via phone at 413-733-6651 and via fax at 413-733-6653.
Provider Profile Details
- NPI Number
- 1295156636
- Provider Name
- Baystate Dental Practice, LLC
- Provider Entity Type
- Organization
- Address
- 1795 Main St, Suite 215, Springfield, MA 01103-1077
- Phone Number
- 413-733-6651
- Fax Number
- 413-733-6653
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Ann Marie Santos · Practice Manager · 413-439-0566
- Other Names
- Baystate Dental PC (Doing Business As)
- Provider Enumeration Date
- January 3, 2014
- Last Update Date
- January 13, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1795 Main St
Suite 215
Springfield, MA 01103-1077 - City
- Springfield
- State
- Massachusetts
- Zip
- 01103-1077
- Phone Number
- 413-733-6651
- Fax Number
- 413-733-6653
Provider Business Mailing Address Details
- Address
- 1795 Main St
Suite 116
Springfield, MA 01103-1077 - City
- Springfield
- State
- MA
- Zip
- 01103-1077
- Phone Number
- 413-439-0566
- Fax Number
- 413-439-0563
License Information
- License Number
- DN15623
- 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 Baystate Dental Practice, LLC?
The NPI number of Baystate Dental Practice, LLC is 1295156636. It was assigned on January 3, 2014 and is currently active in the NPPES registry.
What is the specialty of Baystate Dental Practice, LLC?
Baystate Dental Practice, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN15623.
Where does Baystate Dental Practice, LLC practice?
The practice location is 1795 Main St, Suite 215, Springfield, MA 01103-1077. The office can be reached at 413-733-6651 (phone) or 413-733-6653 (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 1295156636 directly on the NPPES registry website.