Baystate Dental PC

NPI #1194932368 in Springfield, Massachusetts

Provider Information

NPI Number: 1194932368
Entity Type: Organization
Organization Name: Baystate Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1795 MAIN ST
City: Springfield
State: Massachusetts
ZIP Code: 01103-1077
Phone: (413) 733-6651

Authorized Official

Name: MRS. ANN MARIE SANTOS
Title: OFFICE MANAGER
Phone: (413) 733-6651

Specialties & Taxonomy Codes

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

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