St.Joseph'S Family Dental,Llc

LBN: St.Joseph'S Family Dental,Llc
St.Joseph'S Family Dental,Llc is an health care organization with primary practice located at 258 Main St , West Springfield MA 01089-3955. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. St.Joseph'S Family Dental,Llc can be contacted via phone (413) 737-3181, or through Aguero, Susana R via phone (413) 737-3181.

Contact Information

Primary practice address
258 Main St West Springfield MA 01089-3955
Phone: (413) 737-3181
Fax: (413) 737-3184
Website:
Map and Directions
Authorized official contact:
Name: Aguero, Susana R Doctor of Dental Surgery (DDS)
Phone: (413) 737-3181

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21492 Massachusetts

Profile Details

NPI number 1003143157
LBN Legal business name St.Joseph'S Family Dental,Llc
DBA Doing business as
Authorized official Aguero, Susana R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003143157 NPPES
Massachusetts MEDICAID 110076716B

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