Active NPIIndividual provider

Kelly Soares, DMD

Dentist in Chicopee, Massachusetts

NPI Number1780645002
Practice location
30 Saint James Ave, Chicopee, MA 01020-2453
Fax
413-592-3278
Last updated
September 10, 2018

Kelly Soares is a Dentist based in Chicopee, MA. Kelly Soares practices in Chicopee, MA and has the professional credentials of DMD. The NPI Number for Kelly Soares is 1780645002 and holds a License No. 19743 (MA). The current practice location address for Kelly Soares is 30 Saint James Ave, Chicopee, MA 01020-2453 and can be reached out via phone at 413-592-2177 and via fax at 413-592-3278.

Provider Profile Details

NPI Number
1780645002
Provider Name
Kelly Soares
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
30 Saint James Ave, Chicopee, MA 01020-2453
Phone Number
413-592-2177
Fax Number
413-592-3278
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2006
Last Update Date
September 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Saint James Ave
Chicopee, MA 01020-2453
Zip
01020-2453
Phone Number
413-592-2177
Fax Number
413-592-3278
Chicopee, MA 01020Get directions →

Provider Business Mailing Address Details

Address
19 Tacoma St
Worcester, MA 01605-3516
City
Worcester
State
MA
Zip
01605-3516
Phone Number
508-852-1805
Fax Number
508-853-8593

License Information

License Number (1)
19743
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1857981
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
DN19743
License State (3)
MA
Taxonomy (3)
Dentist · 122300000X · 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 Kelly Soares, DMD?

The NPI number of Kelly Soares, DMD is 1780645002. It was assigned on March 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Kelly Soares, DMD?

Kelly Soares, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 19743.

Where does Kelly Soares, DMD practice?

The practice location is 30 Saint James Ave, Chicopee, MA 01020-2453. The office can be reached at 413-592-2177 (phone) or 413-592-3278 (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 1780645002 directly on the NPPES registry website.

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