Active NPIOrganization

Springfield Smiles Youth Dentistry, LLC

Dentist, General Practice in Springfield, Massachusetts

NPI Number1568533727
Practice location
376 Cooley St, Springfield, MA 01128-1144
Fax
413-796-1617
Last updated
July 9, 2014

Springfield Smiles Youth Dentistry, LLC is a healthcare organization based in Springfield, MA. Springfield Smiles Youth Dentistry, LLC practices in Springfield, MA. The NPI Number for Springfield Smiles Youth Dentistry, LLC is 1568533727. The current practice location address for Springfield Smiles Youth Dentistry, LLC is 376 Cooley St, Springfield, MA 01128-1144 and can be reached out via phone at 413-796-1616 and via fax at 413-796-1617.

Provider Profile Details

NPI Number
1568533727
Provider Name
Springfield Smiles Youth Dentistry, LLC
Provider Entity Type
Organization
Address
376 Cooley St, Springfield, MA 01128-1144
Phone Number
413-796-1616
Fax Number
413-796-1617
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mrs. Jenell Stump · Manager, Licensing & Credentialing · 615-750-0343
Provider Enumeration Date
November 10, 2006
Last Update Date
July 9, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
376 Cooley St
Springfield, MA 01128-1144
Zip
01128-1144
Phone Number
413-796-1616
Fax Number
413-796-1617
Springfield, MA 01128Get directions →

Provider Business Mailing Address Details

Address
16 Arcade Unit 198747
Nashville, TN 37219-1994
City
Nashville
State
TN
Zip
37219-1994
Phone Number
615-750-0343
Fax Number
615-986-1705

License Information

Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
Taxonomy (3)
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 Springfield Smiles Youth Dentistry, LLC?

The NPI number of Springfield Smiles Youth Dentistry, LLC is 1568533727. It was assigned on November 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Springfield Smiles Youth Dentistry, LLC?

Springfield Smiles Youth Dentistry, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Springfield Smiles Youth Dentistry, LLC practice?

The practice location is 376 Cooley St, Springfield, MA 01128-1144. The office can be reached at 413-796-1616 (phone) or 413-796-1617 (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 1568533727 directly on the NPPES registry website.

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