Baystate Dental Pc

NPI 1013276211 - Dentist - 1223G0001X

NPI Details
NPI 1013276211
Enumeration Date 05/08/2012
Last Updated 05/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MATTHEW J MATTHEW
Position COO
Phone (413) 534-5144
Fax
Practice Location
516 MONTGOMERY ST
CHICOPEE MA, 01020-1469, US
Phone (413) 534-5144
Fax
Business Location
1795 MAIN ST
SUITE 212
SPRINGFIELD MA, 01103-1077, US
Phone (413) 733-5700
Fax (413) 439-0563
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number DN20704
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According to our database, Baystate Dental Pc NPI is 1013276211, taxonomy code is 1223G0001X and license number is DN20704, license state is located at Massachusetts. Baystate Dental Pc physically located at 516 Montgomery St, Chicopee MA, 01020-1469. NPI Number 1033115704 has the healthcare provider type.

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1013276211 NPI number is provided on an as is basis without warranty of any kind. 1013276211 is maintained by the National Plan & Provider Enumeration System. The contents of Baystate Dental Pc are for informational purposes only.