BAYSTATE DENTAL PRACTICE, LLC (NPI# 1295156636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295156636 |
| Entity Type | Organization |
| Organization Name | BAYSTATE DENTAL PRACTICE, LLC |
| Other Organization Name | BAYSTATE DENTAL PC |
| Practice Address |
1795 Main St Suite 215 Springfield MA 01103-1077 |
| Mailing Address |
1795 Main St Suite 116 Springfield MA 01103-1077 |
| Practice Telephone | 4137336651 |
| Practice Fax Number | 4137336653 |
| Mailing Telephone | 4134390566 |
| Mailing Fax Number | 4134390563 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | MRS. ANN MARIE SANTOS (PRACTICE MANAGER) |
| Authorized Official Telephone | 4134390566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15623 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Baystate Dental PC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BAYSTATE DENTAL PRACTICE, LLC | 1795 Main St., Suite 215, Springfield, MA 01103 |
| Street Address |
1795 MAIN ST SUITE 215 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335366 | Alan David Sampson | Dentist | 1795 Main St, Ste 205, Springfield, MA 01103-1015 | 2005-12-05 |
| 1972121424 | Namrata Sheth | Dentist | 1795 Main St, Springfield, MA 01103-1077 | 2020-07-10 |
| 1427424332 | Sara Hamza | Dentist | 1795 Main St, Suite 215, Springfield, MA 01103-1077 | 2015-08-14 |
| 1568853612 | Advance Dental, PC | Dentist | 1795 Main St, 206, Springfield, MA 01103-1077 | 2015-02-11 |
| 1114332269 | Stephanie Jean Plonski | Dentist | 1795 Main St, Suite 216, Springfield, MA 01103-1077 | 2014-06-27 |
| 1790198703 | Larry Lin | Dentist | 1795 Main St, Suite 215, Springfield, MA 01103-1077 | 2014-06-06 |
| 1467886622 | Hanna Woo Park | Dentist | 1795 Main St, Suite 215, Springfield, MA 01103-1077 | 2013-08-23 |
| 1598105389 | Hannah Mayer Hughes | Dentist | 1795 Main St, Suite 116, Springfield, MA 01103-1077 | 2013-06-26 |
| 1265783757 | Bright Debtal Care PC | Dentist | 1795 Main St, Suite 203, Springfield, MA 01103-1077 | 2012-09-25 |
| 1386999134 | Magdalena Nowak | Dentist | 1795 Main St, Suite 215, Springfield, MA 01103-1077 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| 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 |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
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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.