Baystate Dental Practice, LLC
NPI #1295156636 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1295156636
- Entity Type
- Organization
- Organization Name
- Baystate Dental Practice, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 3, 2014
- Last Updated
- Jan 13, 2014
Practice Location
- Address
- 1795 MAIN ST
- Address 2
- SUITE 215
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01103-1077
- Phone
- (413) 733-6651
Authorized Official
- Name
- MRS. ANN MARIE SANTOS
- Title
- PRACTICE MANAGER
- Phone
- (413) 439-0566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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