| The Flagship Dental Group | |
|
123 Dwight Rd Longmeadow MA 01106-1748 | |
| (413) 567-1221 | |
| Not Available |
| Full Name | The Flagship Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Dwight Rd, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Michael J Kelliher (OWNER) |
| Authorized Official Contact | 4135671221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Flagship Dental Group 123 Dwight Rd Longmeadow MA 01106-1748 Ph: (413) 567-1221 | The Flagship Dental Group 123 Dwight Rd Longmeadow MA 01106-1748 Ph: (413) 567-1221 |
| NPI Number | 1336178250 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336178250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18437 (Massachusetts) | Primary |
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