SPRINGFIELD SMILES YOUTH DENTISTRY, LLC (NPI# 1568533727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568533727 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD SMILES YOUTH DENTISTRY, LLC |
| Practice Address |
376 Cooley St Springfield MA 01128-1144 |
| Mailing Address |
16 Arcade Unit 198747 Nashville TN 37219-1994 |
| Practice Telephone | 4137961616 |
| Practice Fax Number | 4137961617 |
| Mailing Telephone | 6157500343 |
| Mailing Fax Number | 6159861705 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | MRS. JENELL STUMP (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Telephone | 6157500343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110070584A | 05 | |
| CT | 1568533727 | 05 |
| Street Address |
376 COOLEY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01128-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979195 | Bennett Ian Galperin | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2020-07-20 |
| 1841773785 | Sonam Sheth | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2018-09-06 |
| 1467805853 | Richard Marshall Opler | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2016-07-20 |
| 1417358219 | New England Family Dentistry,pc | Point of Service | 376 Cooley St, Springfield, MA 01128-1144 | 2014-09-11 |
| 1982853917 | Priya Chandrasekaran | Dentist | 376 Cooley St, Five Town Plaza, Springfield, MA 01128-1144 | 2008-09-15 |
| 1093971632 | Bilal Ahmed | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664173 | Sai L Kadiyala | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2006-03-23 |
| 1609430792 | Mvne 1 PC | Family Medicine | 415 Cooley St, Springfield, MA 01128 | 2019-04-24 |
| 1215349188 | Ying-hsien Huang | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2014-05-28 |
| 1952432890 | Yolanda Rivera | Counselor | 14 Berard Cir, Springfield, MA 01128-1004 | 2007-03-09 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1639545056 | Aditiya Kumar | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2015-08-19 |
| 1164521449 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 381 Cooley Street, Springfield, MA 01128-1113 | 2006-09-22 |
| 1821601105 | Kevin Patrick Keough | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2020-08-26 |
| 1295250413 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 381 Cooley St, Springfield, MA 01128-1113 | 2017-08-09 |
| 1902123276 | Mvne1 P.C. | Clinic/Center | 415 Cooley St, Unit #3, Springfield, MA 01128-1113 | 2010-04-27 |
| Find all providers in zip 01128 | ||||
| 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 | 01128 |
Please comment or provide details below to improve the information on SPRINGFIELD SMILES YOUTH DENTISTRY, LLC.
| 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.