Western Mass Periodontics & Implant Specialists PC

NPI #1144036567 in Great Barrington, Massachusetts

Provider Information

NPI Number: 1144036567
Entity Type: Organization
Organization Name: Western Mass Periodontics & Implant Specialists PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Dec 10, 2024
Last Updated: Dec 10, 2024

Practice Location

Address: 271 MAIN ST
City: Great Barrington
State: Massachusetts
ZIP Code: 01230-1748
Phone: (413) 644-8894

Authorized Official

Name: CHRISTINE BRANIGAN
Title: CREDENTIALING MANAGER
Phone: (631) 696-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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