Western Mass Dental Specialty Springfield PC
NPI #1790591113 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1790591113
- Entity Type
- Organization
- Organization Name
- Western Mass Dental Specialty Springfield PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Dec 10, 2024
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 158 MAIN ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-1803
- Phone
- (413) 786-2341
Authorized Official
- Name
- CHRISTINE BRANIGAN
- Title
- CREDENTIALING MANAGER
- Phone
- (631) 696-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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