Kelly Bouchard DMD PC
Dentist, General Practice in West Springfield, Massachusetts
1821008681- Practice location
- 103 Van Deene Avenue, West Springfield, MA 01089
- Phone
- 413-733-3019
- Fax
- 413-788-7387
- Last updated
- August 22, 2020
Kelly Bouchard DMD PC is a healthcare organization based in West Springfield, MA. Kelly Bouchard DMD PC practices in West Springfield, MA. The NPI Number for Kelly Bouchard DMD PC is 1821008681 and holds a License No. 20552 (MA). The current practice location address for Kelly Bouchard DMD PC is 103 Van Deene Avenue, West Springfield, MA 01089 and can be reached out via phone at 413-733-3019 and via fax at 413-788-7387.
Provider Profile Details
- NPI Number
- 1821008681
- Provider Name
- Kelly Bouchard DMD PC
- Provider Entity Type
- Organization
- Address
- 103 Van Deene Avenue, West Springfield, MA 01089
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Kelly Bouchard, DMD · Owner President · 413-733-3019
- Provider Enumeration Date
- August 8, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Van Deene Avenue
West Springfield, MA 01089 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
Provider Business Mailing Address Details
- Address
- 103 Van Deene Avenue
West Springfield, MA 01089 - City
- West Springfield
- State
- MA
- Zip
- 01089
- Phone Number
- 413-733-3019
- Fax Number
- 413-788-7387
License Information
- License Number
- 20552
- License State
- MA
- 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. | |||
Other Dentist, General Practice providers near West Springfield, MA
View all Dentist, General Practice providers in West Springfield →- Dental-West, LLCDentist, General Practice · NPI 1538561931
- Dr. Alain R Arguelles, DDSDentist, General Practice · NPI 1417040221
- Dr. Andrea R Scollard, DDSDentist, General Practice · NPI 1306221452
- Dr. Buddy DenisonDentist, General Practice · NPI 1215007539
- Dr. Cole G Archambault, DMDDentist, General Practice · NPI 1699187427
- Dr. Gary F Circosta, DMDDentist, General Practice · NPI 1316935448
Frequently Asked Questions
What is the NPI number of Kelly Bouchard DMD PC?
The NPI number of Kelly Bouchard DMD PC is 1821008681. It was assigned on August 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Kelly Bouchard DMD PC?
Kelly Bouchard DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20552.
Where does Kelly Bouchard DMD PC practice?
The practice location is 103 Van Deene Avenue, West Springfield, MA 01089. The office can be reached at 413-733-3019 (phone) or 413-788-7387 (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 1821008681 directly on the NPPES registry website.