| Riddell Dental | |
|
33 Riddell St Greenfield MA 01301-2025 | |
| (413) 774-7996 | |
| (413) 774-7271 |
| Full Name | Riddell Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Riddell St, Greenfield, Massachusetts |
| Authorized Official Name and Position | Frederick D Mesloh (OWNER) |
| Authorized Official Contact | 4137747996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddell Dental 33 Riddell St Greenfield MA 01301-2025 Ph: (413) 774-7996 | Riddell Dental 33 Riddell St Greenfield MA 01301-2025 Ph: (413) 774-7996 |
| NPI Number | 1386830883 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386830883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16367 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 13181 (Massachusetts) | Secondary |
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