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WESTERN MASS PERIODONTICS PC NPI 1952052235


NPI Information

NPI: 1952052235
Provider Name: WESTERN MASS PERIODONTICS PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
75 BERLIN RD STE 108
CROMWELL, CT
ZIP 06416
Phone: (860) 635-1515
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WESTERN MASS PERIODONTICS PC is a periodontics dentist in Cromwell, CT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WESTERN MASS PERIODONTICS PC NPI is 1952052235. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

75 BERLIN RD STE 108
CROMWELL, CT
ZIP 06416-633
Phone: (860) 635-1515

The provider's authorized official is Leah Ann Maylott .
The authorized official title is Credentialing Administrator and has the following contact phone number (860) 874-8198.

The enumeration date for this NPI number is 1/18/2022 and was last updated on 1/18/2022.


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
11223P0300XDentistPeriodonticsYes

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: 11/14/2023

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