Baystate Dental Pc

LBN: Baystate Dental Pc
Baystate Dental Pc is an health care organization with primary practice located at 1795 Main St , Springfield MA 01103-1077. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Baystate Dental Pc can be contacted via phone (413) 733-6651, or through Santos, Ann Marie via phone (413) 733-6651.

Contact Information

Primary practice address
1795 Main St Springfield MA 01103-1077
Phone: (413) 733-6651
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santos, Ann Marie
Phone: (413) 733-6651

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15623 Massachusetts

Profile Details

NPI number 1194932368
LBN Legal business name Baystate Dental Pc
DBA Doing business as
Authorized official Santos, Ann Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1194932368 NPPES
Massachusetts MEDICAID 9730460

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