KOOL SMILES MAC, PC (NPI# 1538246616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538246616 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES MAC, PC |
| Other Organization Name | CORTLAND DENTAL |
| Practice Address |
1070 Saint James Ave Springfield MA 01104-1311 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6789045665 |
| Practice Fax Number | 6789045669 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. TU TRAN (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Cortland Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154529071 | Kool Smiles Mac, PC | Dentist | 217 South Street, Holyoke, MA 04010 | 2007-07-03 |
| 1275620726 | Kool Smiles Mac, PC | Dentist | 1 Porter Square, Suite 11, Cambridge, MA 02140 | 2006-10-06 |
| 1407943954 | Kool Smiles Mac, PC | Dentist | 933 Pleasant Street, Suite 102-103, Fall River, MA 02723 | 2006-10-06 |
| 1811084387 | Kool Smiles Mac, PC | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150 | 2006-10-06 |
| 1598852048 | Kool Smiles Mac, PC | Dentist | 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082 | 2006-10-06 |
| 1477648954 | Kool Smiles Mac, PC | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-03 |
| 1902947138 | Kool Smiles Mac, PC | Dentist | 715 Crescent St, Suite 9, Brockton, MA 02302-3363 | 2007-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | KOOL SMILES MAC, PC | 1090 Northchase Parkway Se, Suite 150, Merietta, GA 30067 |
| Street Address |
1070 SAINT JAMES AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366532533 | Gina Sohn | Dentist | 1070 Saint James Ave, Kool Smiles Dental, Springfield, MA 01104-1311 | 2006-10-16 |
| 1144867029 | Dr Miriam Chung Dds Inc | Clinic/Center | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2019-12-10 |
| 1700223237 | Stephanie Simone Stoddart | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2013-05-23 |
| 1447532072 | Harjot K Virk | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2011-09-09 |
| 1417242124 | Pankaj R. Singhvi | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2011-06-10 |
| 1275835803 | Krunal S Rana | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2010-12-02 |
| 1407168016 | Tejas R Patel | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2010-07-12 |
| 1841501723 | Debbie Kethelyn Derisse | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1453 | 2010-06-25 |
| 1992032999 | Navdeep K Sidhu | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1311 | 2009-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on KOOL SMILES MAC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.