Baystate Dental Pc | |
1795 Main St Springfield MA 01103-1077 | |
(413) 733-6651 | |
Not Available |
Full Name | Baystate Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1795 Main St, Springfield, Massachusetts |
Authorized Official Name and Position | Ann Marie Santos (OFFICE MANAGER) |
Authorized Official Contact | 4137336651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baystate Dental Pc 1795 Main St Springfield MA 01103-1077 Ph: (413) 733-6651 | Baystate Dental Pc 1795 Main St Springfield MA 01103-1077 Ph: (413) 733-6651 |
NPI Number | 1194932368 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194932368 | NPI | - | NPPES |
9730460 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15623 (Massachusetts) | Primary |
News Archive
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