RIVERSIDE DENTAL LLC NPI 1689012361

NPI Information

  • NPI: 1689012361
  • Provider Name: RIVERSIDE DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 235B MEMORIAL AVENUE
    WEST SPRINGFIELD, MA
    ZIP 01028
  • Phone: (603) 738-6808

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NPI Details

RIVERSIDE DENTAL LLC is a general practice dentist in West Springfield, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RIVERSIDE DENTAL LLC NPI is 1689012361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235B MEMORIAL AVENUE
WEST SPRINGFIELD, MA
ZIP 01028-846
Phone: (603) 738-6808
Fax: (413) 285-8146

The provider's authorized official is Chandra Mohan Manish .
The authorized official title is Owner and has the following contact phone number (603) 738-6808.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 3/30/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN1855134MASSACHUSETTSYes

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: 11/21/2025

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