| Matthews Pcc Llc | |
| 
					1984 Boston Rd Wilbraham MA 01095-1046  | |
| (413) 737-2200 | |
| Not Available | 
| Full Name | Matthews Pcc Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 1984 Boston Rd, Wilbraham, Massachusetts | 
| Authorized Official Name and Position | Robert Matthews (OWNER) | 
| Authorized Official Contact | 4137372200 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthews Pcc Llc 68 Bairdcrest Rd Springfield MA 01118-1757 Ph: (413) 783-3621  | Matthews Pcc Llc 1984 Boston Rd Wilbraham MA 01095-1046 Ph: (413) 737-2200  | 
| NPI Number | 1275912339 | 
|---|---|
| Provider Enumeration Date | 05/22/2015 | 
| Last Update Date | 05/22/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275912339 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856880 (Massachusetts) | Primary | 
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