Agawam Dental Care Pc

LBN: Agawam Dental Care Pc
Agawam Dental Care Pc is an health care organization with primary practice located at 1182 Springfield St , Feeding Hills MA 01030-2115. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Agawam Dental Care Pc can be contacted via phone (413) 786-7313, or through Pahl, Ronald A via phone (413) 786-7313.

Contact Information

Primary practice address
1182 Springfield St Feeding Hills MA 01030-2115
Fax: (413) 786-7542
Website:
Authorized official contact:
Name: Pahl, Ronald A Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18025 Massachusetts

Profile Details

NPI number 1558446310
LBN Legal business name Agawam Dental Care Pc
DBA Doing business as
Authorized official Pahl, Ronald A Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 27th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558446310 NPPES
Massachusetts MEDICAID 0277819

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