Kelly Bouchard Dmd Pc

LBN: Kelly Bouchard Dmd Pc
Kelly Bouchard Dmd Pc is an health care organization with primary practice located at 103 Van Deene Avenue , West Springfield MA 01089. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kelly Bouchard Dmd Pc can be contacted via phone (413) 733-3019, or through Bouchard, Kelly via phone (413) 733-3019.

Contact Information

Primary practice address
103 Van Deene Avenue West Springfield MA 01089
Phone: (413) 733-3019
Fax: (413) 788-7387
Website:
Map and Directions
Authorized official contact:
Name: Bouchard, Kelly Doctor of Dental Medicine (DMD)
Phone: (413) 733-3019

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20552 Massachusetts

Profile Details

NPI number 1821008681
LBN Legal business name Kelly Bouchard Dmd Pc
DBA Doing business as
Authorized official Bouchard, Kelly Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
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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