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WESTERN MASS ENDODONTICS PC NPI 1801936570


NPI Information

NPI: 1801936570
Provider Name: WESTERN MASS ENDODONTICS PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

CLIA Number: 22D0718678

Address:
15 LIBERTY STREET
WESTERN MASS ENDODONTICS
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 733-6600
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WESTERN MASS ENDODONTICS PC is an endodontics dentist in Springfield, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. WESTERN MASS ENDODONTICS PC NPI is 1801936570. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 LIBERTY STREET
WESTERN MASS ENDODONTICS
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 733-6600
Fax: (413) 732-1667

The provider's authorized official is Shawn M Record .
The authorized official title is President Corporation and has the following contact phone number (413) 733-6600.

The CLIA number assigned to this NPI record is 22D0718678 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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