The Loose Tooth
Health Maintenance Organization in Chicopee, Massachusetts
1750689576- Practice location
- 874 Prospect St, Chicopee, MA 01020-3107
- Phone
- 413-888-6767
- Fax
- 413-888-6766
- Last updated
- March 2, 2011
The Loose Tooth is a healthcare organization based in Chicopee, MA. The Loose Tooth practices in Chicopee, MA. The NPI Number for The Loose Tooth is 1750689576 and holds a License No. dh11413 (MA). The current practice location address for The Loose Tooth is 874 Prospect St, Chicopee, MA 01020-3107 and can be reached out via phone at 413-888-6767 and via fax at 413-888-6766.
Provider Profile Details
- NPI Number
- 1750689576
- Provider Name
- The Loose Tooth
- Provider Entity Type
- Organization
- Address
- 874 Prospect St, Chicopee, MA 01020-3107
- Phone Number
- 413-888-6767
- Fax Number
- 413-888-6766
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Jennifer Hauschild, RDH, PHDH · Owner, Opperator · 413-888-6767
- Provider Enumeration Date
- March 2, 2011
- Last Update Date
- March 2, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 874 Prospect St
Chicopee, MA 01020-3107 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-3107
- Phone Number
- 413-888-6767
- Fax Number
- 413-888-6766
Provider Business Mailing Address Details
- Address
- 874 Prospect St
Chicopee, MA 01020-3107 - City
- Chicopee
- State
- MA
- Zip
- 01020-3107
- Phone Number
- 413-888-6767
- Fax Number
- 413-888-6766
License Information
- License Number
- dh11413
- License State
- MA
- Taxonomy
- Health Maintenance Organization · 302R00000X · 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 The Loose Tooth?
The NPI number of The Loose Tooth is 1750689576. It was assigned on March 2, 2011 and is currently active in the NPPES registry.
What is the specialty of The Loose Tooth?
The Loose Tooth is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in MA under license number dh11413.
Where does The Loose Tooth practice?
The practice location is 874 Prospect St, Chicopee, MA 01020-3107. The office can be reached at 413-888-6767 (phone) or 413-888-6766 (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 1750689576 directly on the NPPES registry website.