| Western Mass Periodontics Pc | |
|
158 Main St Agawam MA 01001 | |
| (413) 786-2341 | |
| Not Available |
| Full Name | Western Mass Periodontics Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 158 Main St, Agawam, Massachusetts |
| Authorized Official Name and Position | Leah Ann Maylott (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 8608748198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mass Periodontics Pc 65 Elm St Worcester MA 01609-2547 Ph: (860) 874-8198 | Western Mass Periodontics Pc 158 Main St Agawam MA 01001 Ph: (413) 786-2341 |
| NPI Number | 1457709180 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457709180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 19671 (Massachusetts) | Primary |
Dental Studio Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Suffield St, Agawam, MA 01001 Phone: 413-786-0085 Fax: 413-786-0025 | |
Christopher J Magiera Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Silver St, Suite 205, Agawam, MA 01001 Phone: 413-786-0171 Fax: 413-786-2368 | |
Dr. Samuel Lu P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Main Street, Agawam, MA 01001 Phone: 413-530-2677 | |
Cornerstone Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 Suffield Sreet, Agawam, MA 01001 Phone: 413-786-0077 | |
A Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S End Bridge Cir, Agawam, MA 01001 Phone: 413-363-1242 | |
Western Mass Dental Specialty Springfield Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Main St, Agawam, MA 01001 Phone: 413-786-2341 |