Baystate Dental PC

NPI #1013276211 in Chicopee, Massachusetts

Provider Information

NPI Number: 1013276211
Entity Type: Organization
Organization Name: Baystate Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2012
Last Updated: May 8, 2012

Practice Location

Address: 516 MONTGOMERY ST
City: Chicopee
State: Massachusetts
ZIP Code: 01020-1469
Phone: (413) 534-5144

Authorized Official

Name: DR. MATTHEW J HALUCH, DDS
Title: COO
Phone: (413) 733-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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