| Wilbraham Dental Associates, Llc | |
|
70 Post Office Park Wilbraham MA 01095-1290 | |
| (413) 279-2016 | |
| Not Available |
| Full Name | Wilbraham Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 70 Post Office Park, Wilbraham, Massachusetts |
| Authorized Official Name and Position | Christopher James Root (DENTIST/OWNER) |
| Authorized Official Contact | 4132792016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilbraham Dental Associates, Llc 70 Post Office Park Wilbraham MA 01095-1290 Ph: (413) 279-2016 | Wilbraham Dental Associates, Llc 70 Post Office Park Wilbraham MA 01095-1290 Ph: (413) 279-2016 |
| NPI Number | 1982150025 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982150025 | NPI | - | NPPES |
| 110110523A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21246 (Massachusetts) | Primary |
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