| Western Mass Endodontics PC | |
|
15 Liberty Street Western Mass Endodontics Springfield MA 01103 | |
| (413) 733-6600 | |
| (413) 732-1667 |
| Full Name | Western Mass Endodontics PC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 15 Liberty Street, Springfield, Massachusetts |
| Authorized Official Name and Position | Shawn M Record (PRESIDENT CORPORATION) |
| Authorized Official Contact | 4137336600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mass Endodontics PC 15 Liberty Street Western Mass Endodontics Springfield MA 01103 | Western Mass Endodontics PC 15 Liberty Street Western Mass Endodontics Springfield MA 01103 Ph: (413) 733-6600 |
| NPI Number | 1801936570 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801936570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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