| Northgate Dental Center | |
|
1985 Main St Springfield MA 01103-1095 | |
| (617) 513-4321 | |
| Not Available |
| Full Name | Northgate Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1985 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Kavitha Sathya (DENTIST) |
| Authorized Official Contact | 6175134321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northgate Dental Center 1985 Main St Springfield MA 01103-1095 Ph: (617) 513-4321 | Northgate Dental Center 1985 Main St Springfield MA 01103-1095 Ph: (617) 513-4321 |
| NPI Number | 1659871531 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659871531 | NPI | - | NPPES |
| 1114366705 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856292 (Massachusetts) | Primary |
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