Active NPIIndividual provider

Dr. John R Hennessy, DDS

Dentist, General Practice in Hampden, Massachusetts

NPI Number1336163757
Practice location
2 Allen Street, Hampden, MA 01036
Fax
413-566-3868
Last updated
July 8, 2007

John Raleigh Hennessy is a Dentist, General Practice based in Hampden, MA. John Raleigh Hennessy practices in Hampden, MA and has the professional credentials of DDS. The NPI Number for John Raleigh Hennessy is 1336163757 and holds a License No. 11131 (MA). The current practice location address for John Raleigh Hennessy is 2 Allen Street, Hampden, MA 01036 and can be reached out via phone at 413-566-3972 and via fax at 413-566-3868.

Provider Profile Details

NPI Number
1336163757
Provider Name
John Raleigh Hennessy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2 Allen Street, Hampden, MA 01036
Phone Number
413-566-3972
Fax Number
413-566-3868
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Allen Street
Hampden, MA 01036
Zip
01036
Phone Number
413-566-3972
Fax Number
413-566-3868
Hampden, MA 01036Get directions →

Provider Business Mailing Address Details

Address
2 Allen Street
Hampden, MA 01036
City
Hampden
State
MA
Zip
01036
Phone Number
413-566-3972
Fax Number
413-566-3868

License Information

License Number
11131
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. John R Hennessy, DDS?

The NPI number of Dr. John R Hennessy, DDS is 1336163757. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Hennessy, DDS?

Dr. John R Hennessy, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 11131.

Where does Dr. John R Hennessy, DDS practice?

The practice location is 2 Allen Street, Hampden, MA 01036. The office can be reached at 413-566-3972 (phone) or 413-566-3868 (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 1336163757 directly on the NPPES registry website.

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