DR DENTAL OF MASSACHUSETTS PC (NPI# 1689228140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689228140 |
| Entity Type | Organization |
| Organization Name | DR DENTAL OF MASSACHUSETTS PC |
| Practice Address |
1101 Boston Road Springfield MA 01119 |
| Mailing Address |
945 Concord St Suite 230 Framingham MA 01701 |
| Practice Telephone | 5086204563 |
| Mailing Telephone | 5086204563 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | SHEILA CHAMPAGNE (ACCOUNT MANAGER) |
| Authorized Official Telephone | 5086204563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1101 BOSTON ROAD |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1801289814 | Erica Morin | Student in an Organized Health Care Education/Training Program | 45 Jonquil Drive, Springfield, MA 01119 | 2015-03-16 |
| 1255764890 | Jennifer Marie Alli | Nurse Practitioner | 1215 Wilbraham Road, Springfield, MA 01119 | 2013-08-19 |
| 1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
| 1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
| 1356378970 | Michael A Vallee | Specialist/Technologist | Western New England College, 1215 Wilbraham Rd., Springfield, MA 01119 | 2006-06-27 |
| 1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
| 1598242182 | Sarah Ann Lak | Social Worker | 3350 Main Street, Springfied, MA 01119 | 2018-07-26 |
| 1881988475 | Tanya O'neil | Occupational Therapist | 68 Wollaston St, Springfield, MA 01119 | 2011-06-01 |
| 1740515477 | Amy C Baronas | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01119 | 2009-10-14 |
| Find all providers in zip 01119 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092377 | Center for Dental Sleep Medicine, PC | Clinic/Center | 1795 Main St Ste 108, Springfield, MA 01103-1078 | 2020-01-21 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1164918868 | Noble Family Dental PC | Clinic/Center | 665 Boston Rd, Springfield, MA 01119-1303 | 2018-07-05 |
| 1316430952 | Peterson Dental Care LLC | Clinic/Center | 2501 W Iles Ave Ste A, Springfield, IL 62704-6482 | 2018-06-08 |
| 1447765029 | Dental 32, L.L.C. | Clinic/Center | 2142 S Brentwood Blvd, Springfield, MO 65804-2539 | 2017-12-05 |
| 1922435148 | Kelly Dental LLC | Clinic/Center | 1655 S. Enterprise Ave Ste. A-3, Springfield, MO 65804 | 2013-10-02 |
| 1184986077 | All About Smiles Lc | Clinic/Center | 1717 E Cherokee St, Suite 104, Springfield, MO 65804-2335 | 2012-06-15 |
| 1285939157 | Derek R. Kaelin D.d.s, LLC | Clinic/Center | 4205 S Nature Center Way, Springfield, MO 65804-4921 | 2011-01-24 |
| 1295030203 | Derek R. Kaelin, D.d.s, LLC | Clinic/Center | 2105 W Kearney St Ste A, Springfield, MO 65803-1666 | 2011-01-21 |
| 1477867612 | Springfield Community Dental Clinic | Clinic/Center | 1 Armory Sq, Springfield, MA 01105-1700 | 2010-07-29 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01119 |
Please comment or provide details below to improve the information on DR DENTAL OF MASSACHUSETTS PC.
| 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.