Malave-Vidal, William
Malave-Vidal, William is an sole proprietor health care provider with primary practice located at 1985 Main St , Springfield MA 01103-1095. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Malave-Vidal, William can be contacted via phone (413) 747-0400.Contact Information
Primary practice address
1985 Main St
Springfield MA 01103-1095
Phone: (413) 747-0400
Fax: (413) 747-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18100 | Massachusetts |
Profile Details
| NPI number | 1326170861 |
|---|---|
| LBN Legal business name | Malave-Vidal, William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326170861 | NPPES |
| Massachusetts | MEDICAID | 0275212 |
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