| Mcnally Brothers Dmd | |
|
75 Van Deene Ave Suite 201 West Springfield MA 01089 | |
| (413) 788-9621 | |
| (413) 788-0103 |
| Full Name | Mcnally Brothers Dmd |
|---|---|
| Speciality | Dentist |
| Location | 75 Van Deene Ave, West Springfield, Massachusetts |
| Authorized Official Name and Position | Christopher R Desesa (PRESIDENT) |
| Authorized Official Contact | 4137889621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcnally Brothers Dmd 75 Van Deene Ave Suite 201 West Springfield MA 01089-3213 Ph: (413) 788-9621 | Mcnally Brothers Dmd 75 Van Deene Ave Suite 201 West Springfield MA 01089 Ph: (413) 788-9621 |
| NPI Number | 1396897823 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 9234233966 |
|---|---|
| Medicare Enrollment ID | O20070405000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396897823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Anthony P Laudano |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629154869 PECOS PAC ID: 1052415296 Enrollment ID: I20070328000563 |
| Provider Name | John W Torchia |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1497811384 PECOS PAC ID: 6103920830 Enrollment ID: I20120113000011 |
| Provider Name | Christopher R Desesa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1154617686 PECOS PAC ID: 9931416823 Enrollment ID: I20150909001570 |
| Provider Name | Robert J Weinstock |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023426392 PECOS PAC ID: 3476773144 Enrollment ID: I20170905002917 |
| Provider Name | Anju J. Nellissery |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629598123 PECOS PAC ID: 6305209883 Enrollment ID: I20230831000217 |
| Provider Name | Erik M Sayles |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457598138 PECOS PAC ID: 9234274309 Enrollment ID: I20240313003907 |
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Drs. Mackler, Siurek And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Daggett Dr, Suite 2c, West Springfield, MA 01089 Phone: 413-747-9224 Fax: 413-747-0117 | |
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