Western Mass Dental Specialty Springfield PC
Dentist, Periodontics in Agawam, Massachusetts
1790591113- Practice location
- 158 Main St, Agawam, MA 01001-1803
- Phone
- 413-786-2341
- Fax
- —
- Last updated
- December 10, 2024
Western Mass Dental Specialty Springfield PC is a healthcare organization based in Agawam, MA. Western Mass Dental Specialty Springfield PC practices in Agawam, MA. The NPI Number for Western Mass Dental Specialty Springfield PC is 1790591113. The current practice location address for Western Mass Dental Specialty Springfield PC is 158 Main St, Agawam, MA 01001-1803 and can be reached out via phone at 413-786-2341.
Provider Profile Details
- NPI Number
- 1790591113
- Provider Name
- Western Mass Dental Specialty Springfield PC
- Provider Entity Type
- Organization
- Address
- 158 Main St, Agawam, MA 01001-1803
- Phone Number
- 413-786-2341
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Christine Branigan · Credentialing Manager · 631-696-0100
- Provider Enumeration Date
- December 10, 2024
- Last Update Date
- December 10, 2024
- Certification Date
- December 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158 Main St
Agawam, MA 01001-1803 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-1803
- Phone Number
- 413-786-2341
Provider Business Mailing Address Details
- Address
- 158 Main St
Agawam, MA 01001-1803 - City
- Agawam
- State
- MA
- Zip
- 01001-1803
- Phone Number
- 413-786-2341
License Information
- Taxonomy
- 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 Western Mass Dental Specialty Springfield PC?
The NPI number of Western Mass Dental Specialty Springfield PC is 1790591113. It was assigned on December 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Western Mass Dental Specialty Springfield PC?
Western Mass Dental Specialty Springfield PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).
Where does Western Mass Dental Specialty Springfield PC practice?
The practice location is 158 Main St, Agawam, MA 01001-1803. The office can be reached at 413-786-2341 (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 1790591113 directly on the NPPES registry website.