Active NPIIndividual provider

Alissa Mariano, DMD, FACP

Dentist, Prosthodontics in East Longmeadow, Massachusetts

NPI Number1396107355
Practice location
16 Gerrard Ave, East Longmeadow, MA 01028
Fax
—
Last updated
July 7, 2020

Alissa Mariano is a Dentist, Prosthodontics based in East Longmeadow, MA. Alissa Mariano practices in East Longmeadow, MA and has the professional credentials of DMD, FACP. The NPI Number for Alissa Mariano is 1396107355 and holds a License No. DN1857278 (MA). The current practice location address for Alissa Mariano is 16 Gerrard Ave, East Longmeadow, MA 01028 and can be reached out via phone at 413-731-8814.

Provider Profile Details

NPI Number
1396107355
Provider Name
Alissa Mariano
Credential
DMD, FACP
Provider Entity Type
Individual
Gender
Female
Address
16 Gerrard Ave, East Longmeadow, MA 01028
Phone Number
413-731-8814
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2016
Last Update Date
July 7, 2020
Certification Date
July 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Gerrard Ave
East Longmeadow, MA 01028
Zip
01028
Phone Number
413-731-8814
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
16 Gerrard Ave
East Longmeadow, MA 01028-1606
City
East Longmeadow
State
MA
Zip
01028-1606
Phone Number
413-731-8814

License Information

License Number (1)
DN1857278
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1857278
License State (2)
MA
Taxonomy (2)
Dentist, Prosthodontics · 1223P0700X · 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 Alissa Mariano, DMD, FACP?

The NPI number of Alissa Mariano, DMD, FACP is 1396107355. It was assigned on March 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Alissa Mariano, DMD, FACP?

Alissa Mariano, DMD, FACP is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in MA under license number DN1857278.

Where does Alissa Mariano, DMD, FACP practice?

The practice location is 16 Gerrard Ave, East Longmeadow, MA 01028. The office can be reached at 413-731-8814 (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 1396107355 directly on the NPPES registry website.

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