Western Mass Periodontics PC
Dentist, Periodontics in Avon, Connecticut
1467085407- Practice location
- 20 W Avon RD Ste 101, Avon, CT 06001-3677
- Phone
- 860-673-0451
- Fax
- —
- Last updated
- January 18, 2022
Western Mass Periodontics PC is a healthcare organization based in Avon, CT. Western Mass Periodontics PC practices in Avon, CT. The NPI Number for Western Mass Periodontics PC is 1467085407. The current practice location address for Western Mass Periodontics PC is 20 W Avon RD Ste 101, Avon, CT 06001-3677 and can be reached out via phone at 860-673-0451.
Provider Profile Details
- NPI Number
- 1467085407
- Provider Name
- Western Mass Periodontics PC
- Provider Entity Type
- Organization
- Address
- 20 W Avon RD Ste 101, Avon, CT 06001-3677
- Phone Number
- 860-673-0451
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- Yes
- Parent Organization
- Western Mass Periodontics PC
- Authorized Official
- Leah Ann Maylott · Credentialing Administrator · 860-874-8198
- Other Names
- Akram E. Rafla (Former Legal Business Name)
- Provider Enumeration Date
- February 18, 2020
- Last Update Date
- January 18, 2022
- Certification Date
- January 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 W Avon RD Ste 101
Avon, CT 06001-3677 - City
- Avon
- State
- Connecticut
- Zip
- 06001-3677
- Phone Number
- 860-673-0451
Provider Business Mailing Address Details
- Address
- 65 Elm St
Worcester, MA 01609-2547 - City
- Worcester
- State
- MA
- Zip
- 01609-2547
License Information
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Avon, CT
View all Dentist, Periodontics providers in Avon →- Elaine Foppe, CT LMTMassage Therapist · NPI 1548174881
- Emily R Everlith, DMDDentist, General Practice · NPI 1124813167
- Gunilla Adonteng-Boateng, DPTPhysical Therapist · NPI 1215332481
- Mohammed T Ahsan, PA-CPhysician Assistant · NPI 1891510806
- Ryan RoskeyOccupational Therapist, Hand · NPI 1134060031
- Emma J ArdryNurse Practitioner, Family · NPI 1225894892
Frequently Asked Questions
What is the NPI number of Western Mass Periodontics PC?
The NPI number of Western Mass Periodontics PC is 1467085407. It was assigned on February 18, 2020 and is currently active in the NPPES registry.
What is the specialty of Western Mass Periodontics PC?
Western Mass Periodontics PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).
Where does Western Mass Periodontics PC practice?
The practice location is 20 W Avon RD Ste 101, Avon, CT 06001-3677. The office can be reached at 860-673-0451 (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 1467085407 directly on the NPPES registry website.