person
Gary Li, DMD
Periodontist in Agawam, Massachusetts
NPI 1760008668

Gary Li is a Periodontist based in Boston, MA and is specialized in Periodontics. 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. (Massachusetts).

The current practice location address for Gary Li is 158 Main St Ste 101, Agawam, MA and can be reached out via phone at 413-728-1500.

Location: 158 Main St Ste 101, Agawam, MA, 02115-6271
person
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, 02115-6271
Phone Number
413-728-1500
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
158 Main St Ste 101
City
State
Zip
01001-1803
Phone Number
413-728-1500
Fax Number
person
Provider Business Mailing Address Details
Address
158 Main St Ste 101
City
State
Zip
01001-1803
Phone Number
413-728-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DN1859006 (Massachusetts)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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