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WESTERN MASS PERIODONTICS PC
NPI 1457709180
Dentist - Periodontics in Agawam, MA

Active since June 03, 2016

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2022, Feb 18, 2020, Aug 29, 2018 (3 updates tracked since 2018).

About Western Mass Periodontics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN MASS PERIODONTICS PC (NPI 1457709180), doing business as Nobel Perio, is a healthcare organization registered as a periodontics in Agawam, Massachusetts and active in the NPI registry since June 2016. The organization lists Leah Ann Maylott, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1457709180
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN MASS PERIODONTICS PC
Location Address158 MAIN STAgawam, MA 01001
Mailing Address65 Elm StWorcester, MA 01609-2547 · (860) 874-8198
Phone(413) 786-2341
Organization SubpartYes
Authorized OfficialLeah Ann MaylottCredentialing Administrator · (860) 874-8198
Enumeration DateJune 3, 2016
Last NPPES UpdateJanuary 18, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1457709180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 19671
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
158 MAIN ST, Agawam, MA 01001
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Other Names 1

Former Legal Business NameNobel Perio

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE ARTHUR VASSOS D.M.D.
Dentist (Periodontics)
158 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-2341
WESTERN MASS DENTAL SPECIALTY SPRINGFIELD PC
Dentist (Periodontics)
158 MAIN ST
AGAWAM, MA 01001
Hampden County (413) 786-2341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Mass Periodontics PC's NPI number?

The NPI number for Western Mass Periodontics PC is 1457709180. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider was formerly known as Nobel Perio.

Where is Western Mass Periodontics PC located?

Western Mass Periodontics PC is located at 158 Main St, Agawam, MA 01001. The listed phone number is (413) 786-2341.

What is Western Mass Periodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Western Mass Periodontics PC was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.