| Our Dentist Of Western Massachusetts | |
|
747 Memorial Dr Chicopee MA 01020-5022 | |
| (413) 217-4455 | |
| Not Available |
| Full Name | Our Dentist Of Western Massachusetts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 747 Memorial Dr, Chicopee, Massachusetts |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Dentist Of Western Massachusetts 747 Memorial Dr Unit B Chicopee MA 01020-5022 Ph: (413) 217-4455 | Our Dentist Of Western Massachusetts 747 Memorial Dr Chicopee MA 01020-5022 Ph: (413) 217-4455 |
| NPI Number | 1285148494 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285148494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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