Springfield Smiles Youth Dentistry, Llc
LBN: Springfield Smiles Youth Dentistry, Llc
Springfield Smiles Youth Dentistry, Llc is an health care organization with primary practice located at 376 Cooley St , Springfield MA 01128-1144. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Springfield Smiles Youth Dentistry, Llc can be contacted via phone (413) 796-1616, or through Stump, Jenell via phone (615) 750-0343.
Contact Information
Primary practice address
376 Cooley St
Springfield MA 01128-1144
Phone: (413) 796-1616
Fax: (413) 796-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1568533727 |
|---|---|
| LBN Legal business name | Springfield Smiles Youth Dentistry, Llc |
| DBA Doing business as | |
| Authorized official | Stump, Jenell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 9th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568533727 | NPPES |
| Massachusetts | MEDICAID | 110070584A | |
| Massachusetts | MEDICAID | 1568533727 |
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