Active NPIIndividual providerSole proprietor

Ms. Carly Walz

Dentist, General Practice in Agawam, Massachusetts

NPI Number1346943776
Practice location
302 Suffield St, Agawam, MA 01001-1749
Fax
—
Last updated
August 4, 2023

Carly Walz is a Dentist, General Practice based in Agawam, MA. Carly Walz practices in Agawam, MA. The NPI Number for Carly Walz is 1346943776 and holds a License No. DN1859890 (MA). The current practice location address for Carly Walz is 302 Suffield St, Agawam, MA 01001-1749 and can be reached out via phone at 413-786-0085.

Provider Profile Details

NPI Number
1346943776
Provider Name
Carly Walz
Provider Entity Type
Individual
Gender
Female
Address
302 Suffield St, Agawam, MA 01001-1749
Phone Number
413-786-0085
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2023
Last Update Date
August 4, 2023
Certification Date
August 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 Suffield St
Agawam, MA 01001-1749
City
Agawam
Zip
01001-1749
Phone Number
413-786-0085
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
302 Suffield St
Agawam, MA 01001-1749
City
Agawam
State
MA
Zip
01001-1749
Phone Number
413-786-0085

License Information

License Number
DN1859890
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 Ms. Carly Walz?

The NPI number of Ms. Carly Walz is 1346943776. It was assigned on March 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Carly Walz?

Ms. Carly Walz is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859890.

Where does Ms. Carly Walz practice?

The practice location is 302 Suffield St, Agawam, MA 01001-1749. The office can be reached at 413-786-0085 (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 1346943776 directly on the NPPES registry website.

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