| Maple Street Dental Pllc | |
|
813 Williams St Ste 207 Longmeadow MA 01106-2052 | |
| (413) 567-1223 | |
| Not Available |
| Full Name | Maple Street Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 813 Williams St Ste 207, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Seth Eichenlaub (PRESIDENT) |
| Authorized Official Contact | 6175152949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Street Dental Pllc 5 Campus Ln Easthampton MA 01027-1429 Ph: (617) 515-2949 | Maple Street Dental Pllc 813 Williams St Ste 207 Longmeadow MA 01106-2052 Ph: (413) 567-1223 |
| NPI Number | 1982362638 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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