Active NPIOrganization

Western Mass Periodontics PC

Dentist, Periodontics in Cromwell, Connecticut

NPI Number1952052235
Practice location
75 Berlin RD Ste 108, Cromwell, CT 06416-2633
Fax
—
Last updated
January 18, 2022

Western Mass Periodontics PC is a healthcare organization based in Cromwell, CT. Western Mass Periodontics PC practices in Cromwell, CT. The NPI Number for Western Mass Periodontics PC is 1952052235. The current practice location address for Western Mass Periodontics PC is 75 Berlin RD Ste 108, Cromwell, CT 06416-2633 and can be reached out via phone at 860-635-1515.

Provider Profile Details

NPI Number
1952052235
Provider Name
Western Mass Periodontics PC
Provider Entity Type
Organization
Address
75 Berlin RD Ste 108, Cromwell, CT 06416-2633
Phone Number
860-635-1515
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
Yes
Parent Organization
Western Mass Periodontics PC
Authorized Official
Leah Ann Maylott · Credentialing Administrator · 860-874-8198
Provider Enumeration Date
January 18, 2022
Last Update Date
January 18, 2022
Certification Date
January 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Berlin RD Ste 108
Cromwell, CT 06416-2633
Zip
06416-2633
Phone Number
860-635-1515
Cromwell, CT 06416Get directions →

Provider Business Mailing Address Details

Address
65 Elm St
Worcester, MA 01609-2547
City
Worcester
State
MA
Zip
01609-2547
Phone Number
860-874-8198

License Information

Taxonomy
Dentist, Periodontics · 1223P0300X · 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 Western Mass Periodontics PC?

The NPI number of Western Mass Periodontics PC is 1952052235. It was assigned on January 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Western Mass Periodontics PC?

Western Mass Periodontics PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).

Where does Western Mass Periodontics PC practice?

The practice location is 75 Berlin RD Ste 108, Cromwell, CT 06416-2633. The office can be reached at 860-635-1515 (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 1952052235 directly on the NPPES registry website.

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