Western Mass Periodontics Pc - Dental Clinic in Agawam, MA

Western Mass Periodontics Pc is a dental clinic (Dentist - Periodontics) in Agawam, Massachusetts. The current practice location for Western Mass Periodontics Pc is 158 Main St, Agawam, Massachusetts. For appointments, you can reach them via phone at (413) 786-2341. The mailing address for Western Mass Periodontics Pc is 65 Elm St, Worcester, Massachusetts and phone number is (860) 874-8198.

Western Mass Periodontics Pc is licensed to practice in Massachusetts (license number 19671) and its NPI number is 1457709180. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (413) 786-2341.

Contact Information

Western Mass Periodontics Pc
158 Main St
Agawam
MA 01001
(413) 786-2341
Not Available

Dental Care Clinic Profile

Full NameWestern Mass Periodontics Pc
SpecialityDentist - Periodontics
Location158 Main St, Agawam, Massachusetts
Authorized Official Name and PositionLeah Ann Maylott (CREDENTIALING ADMINISTRATOR)
Authorized Official Contact8608748198
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Western Mass Periodontics Pc
65 Elm St
Worcester
MA 01609-2547

Ph: (860) 874-8198
Western Mass Periodontics Pc
158 Main St
Agawam
MA 01001

Ph: (413) 786-2341

NPI Details:

NPI Number1457709180
Provider Enumeration Date06/03/2016
Last Update Date01/18/2022

Medical Identifiers

Medical identifiers for Western Mass Periodontics Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457709180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 19671 (Massachusetts)Primary

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