Springfield Smiles Youth Dentistry, Llc | |
376 Cooley St Springfield MA 01128-1144 | |
(413) 796-1616 | |
(413) 796-1617 |
Full Name | Springfield Smiles Youth Dentistry, Llc |
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Speciality | Dentist - General Practice |
Location | 376 Cooley St, Springfield, Massachusetts |
Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
Authorized Official Contact | 6157500343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Springfield Smiles Youth Dentistry, Llc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Springfield Smiles Youth Dentistry, Llc 376 Cooley St Springfield MA 01128-1144 Ph: (413) 796-1616 |
NPI Number | 1568533727 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
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1568533727 | NPI | - | NPPES |
110070584A | Medicaid | MA | |
1568533727 | Medicaid | CT |
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