WILBRAHAM DENTAL ASSOCIATES LLC NPI 1982150025

NPI Information

WILBRAHAM DENTAL ASSOCIATES, LLC is a general practice dentist in Wilbraham, 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. WILBRAHAM DENTAL ASSOCIATES, LLC NPI is 1982150025. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

70 POST OFFICE PARK
WILBRAHAM, MA
ZIP 01095-290
Phone: (413) 279-2016

The provider's authorized official is Christopher James Root .
The authorized official title is Dentist/owner and has the following contact phone number (413) 279-2016.

The CLIA number assigned to this NPI record is 22D0946324 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.