Church Street Dental, PC
Dentist in Chicopee, Massachusetts
1720405632- Practice location
- 109 Church St Ste 1, Chicopee, MA 01020-1814
- Phone
- 214-336-9767
- Fax
- —
- Last updated
- March 28, 2014
Church Street Dental, PC is a healthcare organization based in Chicopee, MA. Church Street Dental, PC practices in Chicopee, MA. The NPI Number for Church Street Dental, PC is 1720405632 and holds a License No. 21848 (MA). The current practice location address for Church Street Dental, PC is 109 Church St Ste 1, Chicopee, MA 01020-1814 and can be reached out via phone at 214-336-9767.
Provider Profile Details
- NPI Number
- 1720405632
- Provider Name
- Church Street Dental, PC
- Provider Entity Type
- Organization
- Address
- 109 Church St Ste 1, Chicopee, MA 01020-1814
- Phone Number
- 214-336-9767
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Ranganayaki Chirumamilla · President · 214-336-9767
- Provider Enumeration Date
- March 28, 2014
- Last Update Date
- March 28, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Church St Ste 1
Chicopee, MA 01020-1814 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-1814
- Phone Number
- 214-336-9767
Provider Business Mailing Address Details
- Address
- 109 Church St Ste 1
Chicopee, MA 01020-1814 - City
- Chicopee
- State
- MA
- Zip
- 01020-1814
- Phone Number
- 214-336-9767
License Information
- License Number
- 21848
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Church Street Dental, PC?
The NPI number of Church Street Dental, PC is 1720405632. It was assigned on March 28, 2014 and is currently active in the NPPES registry.
What is the specialty of Church Street Dental, PC?
Church Street Dental, PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21848.
Where does Church Street Dental, PC practice?
The practice location is 109 Church St Ste 1, Chicopee, MA 01020-1814. The office can be reached at 214-336-9767 (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 1720405632 directly on the NPPES registry website.