Memorial Drive Dental Associates Pc

LBN: Memorial Drive Dental Associates Pc
Memorial Drive Dental Associates Pc is an health care organization with primary practice located at 1176 Memorial Drive , Chicopee MA 01020-3960. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Memorial Drive Dental Associates Pc can be contacted via phone (413) 593-5772, or through Rusiecki, Timothy J via phone (413) 593-5772.

Contact Information

Primary practice address
1176 Memorial Drive Chicopee MA 01020-3960
Phone: (413) 593-5772
Fax: (413) 593-5199
Website:
Map and Directions
Authorized official contact:
Name: Rusiecki, Timothy J Doctor of Dental Surgery (DDS)
Phone: (413) 593-5772

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1811083355
LBN Legal business name Memorial Drive Dental Associates Pc
DBA Doing business as
Authorized official Rusiecki, Timothy J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 22nd, 2020 - about 5 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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