Bancroft, Kaitlin Elizabeth Martin

Bancroft, Kaitlin Elizabeth Martin is an sole proprietor health care provider with primary practice located at 38 Oxford Rd , Longmeadow MA 01106-1530. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Bancroft, Kaitlin Elizabeth Martin can be contacted via phone (413) 374-4566.

Contact Information

Primary practice address
38 Oxford Rd Longmeadow MA 01106-1530
Phone: (413) 374-4566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X S42646050 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X DN1858482 Massachusetts

Profile Details

NPI number 1417488651
LBN Legal business name Bancroft, Kaitlin Elizabeth Martin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2017
Last updated Sep 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417488651 NPPES
Massachusetts MEDICAID 00000

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