Active NPIOrganization

Riverside Dental LLC

Dentist, General Practice in West Springfield, Massachusetts

NPI Number1689012361
Practice location
235B Memorial Avenue, West Springfield, MA 01028-2846
Fax
413-285-8146
Last updated
March 30, 2015

Riverside Dental LLC is a healthcare organization based in West Springfield, MA. Riverside Dental LLC practices in West Springfield, MA. The NPI Number for Riverside Dental LLC is 1689012361 and holds a License No. DN1855134 (MA). The current practice location address for Riverside Dental LLC is 235B Memorial Avenue, West Springfield, MA 01028-2846 and can be reached out via phone at 603-738-6808 and via fax at 413-285-8146.

Provider Profile Details

NPI Number
1689012361
Provider Name
Riverside Dental LLC
Provider Entity Type
Organization
Address
235B Memorial Avenue, West Springfield, MA 01028-2846
Phone Number
603-738-6808
Fax Number
413-285-8146
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Chandra Mohan Manish, DMD · Owner · 603-738-6808
Provider Enumeration Date
June 4, 2013
Last Update Date
March 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
235B Memorial Avenue
West Springfield, MA 01028-2846
Zip
01028-2846
Phone Number
603-738-6808
Fax Number
413-285-8146
West Springfield, MA 01028Get directions →

Provider Business Mailing Address Details

Address
235B Memorial Avenue
West Springfield, MA 01028-2846
City
West Springfield
State
MA
Zip
01028-2846
Phone Number
603-738-6808
Fax Number
413-285-8146

License Information

License Number
DN1855134
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 Riverside Dental LLC?

The NPI number of Riverside Dental LLC is 1689012361. It was assigned on June 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Riverside Dental LLC?

Riverside Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1855134.

Where does Riverside Dental LLC practice?

The practice location is 235B Memorial Avenue, West Springfield, MA 01028-2846. The office can be reached at 603-738-6808 (phone) or 413-285-8146 (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 1689012361 directly on the NPPES registry website.

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