SANGEETHA RAGHAVENDRA (NPI# 1871614883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871614883 |
| Entity Type | Individual |
| Full Name | SANGEETHA RAGHAVENDRA |
| Credential | DMD |
| Practice Address |
391 Montgomery St Chicopee MA 01020-1929 |
| Practice Telephone | 4135928099 |
| Practice Fax Number | 4135925839 |
| Mailing Telephone | 4135928099 |
| Mailing Fax Number | 4135925839 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
21113 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TRICARE | 1426492 | 01 |
| CA | UNITED CONCORDIA | 1426492 | 01 |
| MA | BCBS MA | X11395 | 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 |
| 1093836017 | Mark A Bourcier | 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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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.