| Baystate Dental Pc | |
|
516 Montgomery St Chicopee MA 01020-1469 | |
| (413) 534-5144 | |
| Not Available |
| Full Name | Baystate Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 516 Montgomery St, Chicopee, Massachusetts |
| Authorized Official Name and Position | Matthew J Haluch (COO) |
| Authorized Official Contact | 4137335700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baystate Dental Pc 1795 Main St Suite 212 Springfield MA 01103-1077 Ph: (413) 733-5700 | Baystate Dental Pc 516 Montgomery St Chicopee MA 01020-1469 Ph: (413) 534-5144 |
| NPI Number | 1013276211 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013276211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20704 (Massachusetts) | Primary |
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