Memorial Drive Dental Associates PC
Dentist, General Practice in Chicopee, Massachusetts
1811083355- Practice location
- 1176 Memorial Drive, Chicopee, MA 01020-3960
- Phone
- 413-593-5772
- Fax
- 413-593-5199
- Last updated
- August 22, 2020
Memorial Drive Dental Associates PC is a healthcare organization based in Chicopee, MA. Memorial Drive Dental Associates PC practices in Chicopee, MA. The NPI Number for Memorial Drive Dental Associates PC is 1811083355. The current practice location address for Memorial Drive Dental Associates PC is 1176 Memorial Drive, Chicopee, MA 01020-3960 and can be reached out via phone at 413-593-5772 and via fax at 413-593-5199.
Provider Profile Details
- NPI Number
- 1811083355
- Provider Name
- Memorial Drive Dental Associates PC
- Provider Entity Type
- Organization
- Address
- 1176 Memorial Drive, Chicopee, MA 01020-3960
- Phone Number
- 413-593-5772
- Fax Number
- 413-593-5199
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Timothy J Rusiecki, DDS · President · 413-593-5772
- Provider Enumeration Date
- October 4, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1176 Memorial Drive
Chicopee, MA 01020-3960 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-3960
- Phone Number
- 413-593-5772
- Fax Number
- 413-593-5199
Provider Business Mailing Address Details
- Address
- 1176 Memorial Drive
Chicopee, MA 01020-3960 - City
- Chicopee
- State
- MA
- Zip
- 01020-3960
- Phone Number
- 413-593-5772
- Fax Number
- 413-593-5199
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Memorial Drive Dental Associates PC?
The NPI number of Memorial Drive Dental Associates PC is 1811083355. It was assigned on October 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Memorial Drive Dental Associates PC?
Memorial Drive Dental Associates PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Memorial Drive Dental Associates PC practice?
The practice location is 1176 Memorial Drive, Chicopee, MA 01020-3960. The office can be reached at 413-593-5772 (phone) or 413-593-5199 (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 1811083355 directly on the NPPES registry website.