Gary Li, DMD
Dentist, Periodontics in Agawam, Massachusetts
1760008668- Practice location
- 158 Main St Ste 101, Agawam, MA 01001-1803
- Phone
- 413-728-1500
- Fax
- —
- Last updated
- July 1, 2023
Gary Li is a Dentist, Periodontics based in Agawam, MA. Gary Li practices in Agawam, MA and has the professional credentials of DMD. The NPI Number for Gary Li is 1760008668 and holds a License No. DN1859006 (MA). The current practice location address for Gary Li is 158 Main St Ste 101, Agawam, MA 01001-1803 and can be reached out via phone at 413-728-1500.
Provider Profile Details
- NPI Number
- 1760008668
- Provider Name
- Gary Li
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 158 Main St Ste 101, Agawam, MA 01001-1803
- Phone Number
- 413-728-1500
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2020
- Last Update Date
- July 1, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158 Main St Ste 101
Agawam, MA 01001-1803 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-1803
- Phone Number
- 413-728-1500
Provider Business Mailing Address Details
- Address
- 26 Kempton St
Boston, MA 02115-6271 - City
- Boston
- State
- MA
- Zip
- 02115-6271
- Phone Number
- 617-407-0451
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN1859006
- License State (2)
- MA
- Taxonomy (2)
- 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 Agawam, MA
View all Dentist, Periodontics providers in Agawam →Frequently Asked Questions
What is the NPI number of Gary Li, DMD?
The NPI number of Gary Li, DMD is 1760008668. It was assigned on June 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Gary Li, DMD?
Gary Li, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number DN1859006.
Where does Gary Li, DMD practice?
The practice location is 158 Main St Ste 101, Agawam, MA 01001-1803. The office can be reached at 413-728-1500 (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 1760008668 directly on the NPPES registry website.