Walsh, Jennifer Gavrillen

Walsh, Jennifer Gavrillen is an individual health care provider with primary practice located at 200 N Main St Suite 1104, East Longmeadow MA 01028-2392. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Walsh, Jennifer Gavrillen can be contacted via phone (413) 525-6123.

Contact Information

Primary practice address
200 N Main St Suite 1104 East Longmeadow MA 01028-2392
Phone: (413) 525-6123
Fax: (413) 525-8999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21320 Massachusetts

Profile Details

NPI number 1184691495
LBN Legal business name Walsh, Jennifer Gavrillen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
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.

Request for update

Popular Providers