Northgate Dental Center, Pc

LBN: Northgate Dental Center, Pc
Northgate Dental Center, Pc is an health care organization with primary practice located at 1985 Main St Ste 1 , Springfield MA 01103-1072. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Northgate Dental Center, Pc can be contacted via phone (413) 747-0400, or through Malave-Vidal, William via phone (413) 747-0400.

Contact Information

Primary practice address
1985 Main St Ste 1 Springfield MA 01103-1072
Phone: (413) 747-0400
Fax: (413) 747-2440
Website:
Map and Directions
Authorized official contact:
Name: Malave-Vidal, William Doctor of Dental Medicine (DMD)
Phone: (413) 747-0400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18100 Massachusetts

Profile Details

NPI number 1275665705
LBN Legal business name Northgate Dental Center, Pc
DBA Doing business as
Authorized official Malave-Vidal, William Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275665705 NPPES
Massachusetts MEDICAID 9753371

Popular Providers