RIVERSIDE DENTAL LLC (NPI# 1689012361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689012361 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE DENTAL LLC |
| Practice Address |
235b Memorial Avenue West Springfield MA 01028-2846 |
| Practice Telephone | 6037386808 |
| Practice Fax Number | 4132858146 |
| Mailing Telephone | 6037386808 |
| Mailing Fax Number | 4132858146 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | CHANDRA MOHAN MANISH (OWNER) |
| Authorized Official Telephone | 6037386808 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1855134 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972740249 | Riverside Dental LLC | Clinic/Center | 368 E Riverside Dr, Bldg #2, St George, UT 84790-6896 | 2009-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | RIVERSIDE DENTAL LLC | 352 Cooley Street, Springfield, MA 01128 |
| Street Address |
235B MEMORIAL AVENUE |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01028-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821224064 | Chandra Mohan Manish | Dentist | 235b Memorial Avenue, West Springfield, MA 01028-2780 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| 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 |
|---|---|---|---|---|
| 1154736130 | Mikin Patel | Dentist | 235b Memorial Ave, West Springfield, MA 01089 | 2014-06-27 |
| 1821250820 | Vijay Bhaskar Reddy Gaddam | Dentist | 1073 Riverdale St, West Springfield, MA 01089-4614 | 2008-06-30 |
| 1316105307 | Kelly Marie Bouchard | Dentist | 103 Van Deene Ave, West Springfield, MA 01089-3200 | 2008-05-28 |
| 1255460945 | Robert Michael Salem | Dentist | 75 Van Deene Ave Ste 102, West Springfield, MA 01089-3216 | 2007-03-05 |
| 1215007539 | Buddy Denison | Dentist | 75 Vandeene Ave, Suite 202, West Springfield, MA 01089-3283 | 2006-11-08 |
| 1821008681 | Kelly Bouchard Dmd PC | Dentist | 103 Van Deene Avenue, West Springfield, MA 01089 | 2006-08-08 |
| 1568476927 | Lee Hood | Dentist | 1284 Elm Street, West Springfield, MA 01089 | 2006-07-28 |
| 1316935448 | Gary Frank Circosta | Dentist | 93 Van Deene Ave, West Springfield, MA 01089-3236 | 2005-10-12 |
| 1134612252 | Matthew Roy Schultz | Dentist | 935 Riverdale St, West Springfield, MA 01089 | 2018-06-13 |
| 1538561931 | Dental-west, LLC | Dentist | 171 Park Ave, 102, West Springfield, MA 01089-3382 | 2014-09-17 |
| Find all providers in WEST SPRINGFIELD | ||||
| City | WEST SPRINGFIELD |
| Zip Code | 01028 |
Please comment or provide details below to improve the information on RIVERSIDE DENTAL LLC.
| 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.