MARK A BOURCIER (NPI# 1093836017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093836017 |
| Entity Type | Individual |
| Full Name | MARK A BOURCIER |
| Credential | DMD |
| Practice Address |
391 Montgomery St Chicopee MA 01020-1929 |
| Practice Telephone | 4135928099 |
| Practice Fax Number | 5135925839 |
| Mailing Telephone | 4135928099 |
| Mailing Fax Number | 5135925839 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21201 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TRICARE | 1426492 | 01 |
| MA | BCBS MASS | X11395 | 01 |
| CA | UNITED CONCORDIA | 1426492 | 01 |
| Street Address |
391 MONTGOMERY ST |
| City | CHICOPEE |
| State | MA |
| Zip Code | 01020-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487788204 | Wegrzyn Dental Group Inc | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2007-03-15 |
| 1013267293 | Aurora D. S. Fields | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2012-09-14 |
| 1750402764 | Robert E Cipriano | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2007-04-03 |
| 1306967328 | William Joseph Wegrzyn Jr. | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2007-04-03 |
| 1871614883 | Sangeetha Raghavendra | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495546 | Donna Hall Adams | Social Worker | 617 Montgomery St, Chicopee, MA 01020 | 2018-11-03 |
| 1205315793 | Western Mass Physician Associates Inc | Internal Medicine | 1962 Memorial Drive, Chicopee, MA 01020 | 2018-08-07 |
| 1093234700 | Dawn Marie Giordano I | Behavior Technician | 223 Sheridan Street, Chicopee, MA 01020 | 2017-09-13 |
| 1104356450 | Philip Clifton Shiere Jr. | Dentist | 30 St. James Venue, Chicopee, MA 01020 | 2017-06-19 |
| 1376081257 | Jacob Morrill | Pharmacist | 1-5 St. James Ave, Chicopee, MA 01020 | 2017-02-10 |
| 1255768677 | Thomas D. Mccormack | Hearing Instrument Specialist | 1269 Memorial Dr., Chicopee, MA 01020 | 2013-09-30 |
| 1588930994 | John James Glogowski | Nurse Practitioner | 262 New Ludlow Road, Chicopee Medical Center, Chicopee, MA 01020 | 2012-03-29 |
| 1376833384 | Chicopee Dental Center (cdc) | Clinic/Center | 601 Memorial Drive, Chicopee, MA 01020 | 2011-04-11 |
| 1326273558 | Mitesh G Brahmbhatt Dmd PC | Clinic/Center | 747 Memorial Dr., Chicopee, MA 01020 | 2009-05-18 |
| 1386818458 | Fairview Dental Associates LLC | Dentist | 1682 Memorial Drive, Chicopee, MA 01020 | 2008-04-18 |
| Find all providers in zip 01020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876834 | Catherine Mckenna | Dentist | 1146 Memorial Dr Ste 1, Chicopee, MA 01020-3901 | 2020-06-22 |
| 1104356450 | Philip Clifton Shiere Jr. | Dentist | 30 St. James Venue, Chicopee, MA 01020 | 2017-06-19 |
| 1851558415 | Durrani, D.m.d. P.C. | Dentist | 377 Montgomery St, Chicopee, MA 01020-1929 | 2008-05-21 |
| 1154593242 | Dr. Timothy J Gearin Jr | Dentist | 5 Mccarthy Ave, Chicopee, MA 01020-4205 | 2008-03-28 |
| 1487788204 | Wegrzyn Dental Group Inc | Dentist | 391 Montgomery St, Chicopee, MA 01020-1929 | 2007-03-15 |
| 1508959016 | Timothy Joseph Rusiecki | Dentist | 1176 Memorial Drive, Chicopee, MA 01020-3960 | 2006-10-02 |
| 1164523379 | Drs. Thomas and Kirvin P.C. | Dentist | 536 Grattan St, Chicopee, MA 01020-1545 | 2006-09-26 |
| 1154422079 | Waclaw Anthony Hojnoski | Dentist | 377 Montgomery Street, Chicopee, MA 01020-1929 | 2006-09-25 |
| 1285741405 | Walter Edward Gazda Jr. | Dentist | 109 Church Street, Chicopee, MA 01020 | 2006-08-24 |
| 1669495016 | William M Dupont | Dentist | 505 Front St, Chicopee, MA 01013-3140 | 2006-07-26 |
| Find all providers in CHICOPEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.