Dr. Kelly M Bouchard, DMD
Dentist, General Practice in West Springfield, Massachusetts
1316105307- Practice location
- 103 Van Deene Ave, West Springfield, MA 01089-3200
- Phone
- 413-733-3019
- Fax
- 413-788-7387
- Last updated
- May 28, 2008
Kelly Marie Bouchard is a Dentist, General Practice based in West Springfield, MA. Kelly Marie Bouchard practices in West Springfield, MA and has the professional credentials of DMD. The NPI Number for Kelly Marie Bouchard is 1316105307 and holds a License No. 20552 (MA). The current practice location address for Kelly Marie Bouchard is 103 Van Deene Ave, West Springfield, MA 01089-3200 and can be reached out via phone at 413-733-3019 and via fax at 413-788-7387.
Provider Profile Details
- NPI Number
- 1316105307
- Provider Name
- Kelly Marie Bouchard
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 103 Van Deene Ave, West Springfield, MA 01089-3200
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 28, 2008
- Last Update Date
- May 28, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Van Deene Ave
West Springfield, MA 01089-3200 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-3200
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
Provider Business Mailing Address Details
- Address
- 103 Van Deene Ave
West Springfield, MA 01089-3200 - City
- West Springfield
- State
- MA
- Zip
- 01089-3200
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
License Information
- License Number
- 20552
- 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 West Springfield, MA
View all Dentist, General Practice providers in West Springfield →- Dental-West, LLCDentist, General Practice · NPI 1538561931
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- Dr. Andrea R Scollard, DDSDentist, General Practice · NPI 1306221452
- Dr. Buddy DenisonDentist, General Practice · NPI 1215007539
- Dr. Cole G Archambault, DMDDentist, General Practice · NPI 1699187427
- Dr. Gary F Circosta, DMDDentist, General Practice · NPI 1316935448
Frequently Asked Questions
What is the NPI number of Dr. Kelly M Bouchard, DMD?
The NPI number of Dr. Kelly M Bouchard, DMD is 1316105307. It was assigned on May 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Kelly M Bouchard, DMD?
Dr. Kelly M Bouchard, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20552.
Where does Dr. Kelly M Bouchard, DMD practice?
The practice location is 103 Van Deene Ave, West Springfield, MA 01089-3200. The office can be reached at 413-733-3019 (phone) or 413-788-7387 (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 1316105307 directly on the NPPES registry website.