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WESTERN MASS PERIODONTICS PC
NPI 1467085407
Dentist - Periodontics in Avon, CT

Active since February 18, 2020
20 W AVON RD STE 101, AVON, CT 06001(860) 673-0451 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Jan 11, 2022, Feb 18, 2020 (3 updates tracked since 2020).

About Western Mass Periodontics Pc NPPES

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

WESTERN MASS PERIODONTICS PC (NPI 1467085407), doing business as Akram E. Rafla, is a healthcare organization registered as a periodontics in Avon, Connecticut and active in the NPI registry since February 2020. The organization lists Leah Ann Maylott, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1467085407
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN MASS PERIODONTICS PC
Location Address20 W AVON RD STE 101Avon, CT 06001-3677
Mailing Address65 Elm StWorcester, MA 01609-2547
Phone(860) 673-0451
Organization SubpartYes
Authorized OfficialLeah Ann MaylottCredentialing Administrator · (860) 874-8198
Enumeration DateFebruary 18, 2020
Last NPPES UpdateJanuary 18, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1467085407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
20 W AVON RD STE 101, Avon, CT 06001
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Other Names 1

Former Legal Business NameAkram E. Rafla

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PEOPLESDENTAL, P.C.
Dentist (General Practice)
20 W AVON RD STE 101
AVON, CT 06001
Capitol Planning Region (860) 673-0451

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 1467085407. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider was formerly known as Akram E. Rafla.

Where is Western Mass Periodontics PC located?

Western Mass Periodontics PC is located at 20 W Avon Rd Ste 101, Avon, CT 06001. The listed phone number is (860) 673-0451.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.