Active NPIIndividual providerSole proprietor

Dr. Vijay Bhaskar R Gaddam, DMD

Dentist, General Practice in West Springfield, Massachusetts

NPI Number1821250820
Practice location
1073 Riverdale St, West Springfield, MA 01089-4614
Fax
413-285-7168
Last updated
July 7, 2017

Vijay Bhaskar Reddy Gaddam is a Dentist, General Practice based in West Springfield, MA. Vijay Bhaskar Reddy Gaddam practices in West Springfield, MA and has the professional credentials of DMD. The NPI Number for Vijay Bhaskar Reddy Gaddam is 1821250820 and holds a License No. 25779 (TX). The current practice location address for Vijay Bhaskar Reddy Gaddam is 1073 Riverdale St, West Springfield, MA 01089-4614 and can be reached out via phone at 413-285-7114 and via fax at 413-285-7168.

Provider Profile Details

NPI Number
1821250820
Provider Name
Vijay Bhaskar Reddy Gaddam
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1073 Riverdale St, West Springfield, MA 01089-4614
Phone Number
413-285-7114
Fax Number
413-285-7168
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2008
Last Update Date
July 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1073 Riverdale St
West Springfield, MA 01089-4614
Zip
01089-4614
Phone Number
413-285-7114
Fax Number
413-285-7168
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
19 Railroad St
2B
Acton, MA 01720-3573
City
Acton
State
MA
Zip
01720-3573

License Information

License Number (1)
25779
License State (1)
TX
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22226
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Dr. Vijay Bhaskar R Gaddam, DMD?

The NPI number of Dr. Vijay Bhaskar R Gaddam, DMD is 1821250820. It was assigned on June 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Vijay Bhaskar R Gaddam, DMD?

Dr. Vijay Bhaskar R Gaddam, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 25779.

Where does Dr. Vijay Bhaskar R Gaddam, DMD practice?

The practice location is 1073 Riverdale St, West Springfield, MA 01089-4614. The office can be reached at 413-285-7114 (phone) or 413-285-7168 (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 1821250820 directly on the NPPES registry website.

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