Children's Dentistry and Orthodontics of Chicopee 1 LLC
NPI #1134861263 in Chicopee, Massachusetts
Provider Information
- NPI Number
- 1134861263
- Entity Type
- Organization
- Organization Name
- Children's Dentistry and Orthodontics of Chicopee 1 LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 9, 2022
- Last Updated
- Apr 9, 2022
Practice Location
- Address
- 21 BAY STATE RD
- City
- Chicopee
- State
- Massachusetts
- ZIP Code
- 01020-1521
- Phone
- (413) 437-8300
Authorized Official
- Name
- MIKE COLE
- Title
- VP INSURANCE PLAN MANAGEMENT
- Phone
- (727) 424-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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