| No Tooth Left Behind | |
|
95 State St Suite 201 Springfield MA 01103-2091 | |
| (413) 787-6456 | |
| (413) 787-6458 |
| Full Name | No Tooth Left Behind |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 95 State St, Springfield, Massachusetts |
| Authorized Official Name and Position | Helen R. Caulton-harris (DIRECTOR) |
| Authorized Official Contact | 4137876456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| No Tooth Left Behind 95 State St Suite 201 Springfield MA 01103-2091 Ph: (413) 787-6456 | No Tooth Left Behind 95 State St Suite 201 Springfield MA 01103-2091 Ph: (413) 787-6456 |
| NPI Number | 1134250657 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134250657 | NPI | - | NPPES |
| 0206369 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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