David J Vanderboom, DMD
Dentist, General Practice in Chicopee, Massachusetts
1295867992- Practice location
- 1146 Memorial Dr, Chicopee, MA 01020-3960
- Phone
- 413-593-8904
- Fax
- 413-593-5366
- Last updated
- July 8, 2007
David John Vanderboom is a Dentist, General Practice based in Chicopee, MA. David John Vanderboom practices in Chicopee, MA and has the professional credentials of DMD. The NPI Number for David John Vanderboom is 1295867992 and holds a License No. 21684 (MA). The current practice location address for David John Vanderboom is 1146 Memorial Dr, Chicopee, MA 01020-3960 and can be reached out via phone at 413-593-8904 and via fax at 413-593-5366.
Provider Profile Details
- NPI Number
- 1295867992
- Provider Name
- David John Vanderboom
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1146 Memorial Dr, Chicopee, MA 01020-3960
- Phone Number
- 413-593-8904
- Fax Number
- 413-593-5366
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 9, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1146 Memorial Dr
Chicopee, MA 01020-3960 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-3960
- Phone Number
- 413-593-8904
- Fax Number
- 413-593-5366
Provider Business Mailing Address Details
- Address
- 46 Republic Dr
Bloomfield, CT 06002-5455 - City
- Bloomfield
- State
- CT
- Zip
- 06002-5455
- Phone Number
- 617-471-0223
License Information
- License Number
- 21684
- 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. | |||
Other Dentist, General Practice providers near Chicopee, MA
View all Dentist, General Practice providers in Chicopee →- Allcare Dental & Dentures Of Ma PCDentist, General Practice · NPI 1447427927
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Frequently Asked Questions
What is the NPI number of David J Vanderboom, DMD?
The NPI number of David J Vanderboom, DMD is 1295867992. It was assigned on March 9, 2007 and is currently active in the NPPES registry.
What is the specialty of David J Vanderboom, DMD?
David J Vanderboom, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21684.
Where does David J Vanderboom, DMD practice?
The practice location is 1146 Memorial Dr, Chicopee, MA 01020-3960. The office can be reached at 413-593-8904 (phone) or 413-593-5366 (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 1295867992 directly on the NPPES registry website.