| Church Street Dental | |
|
109 Church Street Chicopee MA 01020 | |
| (413) 592-2342 | |
| (413) 592-6608 |
| Full Name | Church Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Church Street, Chicopee, Massachusetts |
| Authorized Official Name and Position | Walter E Gazda (OWNER) |
| Authorized Official Contact | 4135922342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Street Dental 109 Church Street Chicopee MA 01020 Ph: (413) 592-2342 | Church Street Dental 109 Church Street Chicopee MA 01020 Ph: (413) 592-2342 |
| NPI Number | 1275742553 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275742553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13284 (Massachusetts) | Primary |
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