Springfield Smiles Youth Dentistry, LLC
NPI #1568533727 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1568533727
- Entity Type
- Organization
- Organization Name
- Springfield Smiles Youth Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jul 9, 2014
Practice Location
- Address
- 376 COOLEY ST
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01128-1144
- Phone
- (413) 796-1616
Authorized Official
- Name
- MRS. JENELL STUMP
- Title
- MANAGER, LICENSING & CREDENTIALING
- Phone
- (615) 750-0343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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