| Children's Dentistry Of Springfield | |
|
366 Cooley St Springfield MA 01128-1144 | |
| (413) 796-1616 | |
| (413) 796-1617 |
| Full Name | Children's Dentistry Of Springfield |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 366 Cooley St, Springfield, Massachusetts |
| Authorized Official Name and Position | Lisa J Choiniere (BILLING MANAGER) |
| Authorized Official Contact | 5084600632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Springfield 5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 Ph: (508) 460-0632 | Children's Dentistry Of Springfield 366 Cooley St Springfield MA 01128-1144 Ph: (413) 796-1616 |
| NPI Number | 1669960027 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669960027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1857191 (Massachusetts) | Primary |
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