SPRINGFIELD SMILES YOUTH DENTISTRY, LLC
NPI 1568533727
Dentist - General Practice in Springfield, MA

Active since November 10, 2006
376 COOLEY ST, SPRINGFIELD, MA 01128(413) 796-1616(413) 796-1617 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springfield Smiles Youth Dentistry, Llc NPPES

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

SPRINGFIELD SMILES YOUTH DENTISTRY, LLC (NPI 1568533727) is a healthcare organization registered as a general practice in Springfield, Massachusetts and active in the NPI registry since November 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1568533727
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPRINGFIELD SMILES YOUTH DENTISTRY, LLC
Location Address376 COOLEY STSpringfield, MA 01128-1144
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Fax(413) 796-1617
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 9, 2014
NPI 1568533727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
376 COOLEY ST, Springfield, MA 01128

Other Identifiers 2

Medicaid110070584AMA
Medicaid1568533727CT

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 6

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

Point of Service
376 COOLEY ST
SPRINGFIELD, MA 01128
Dentist
376 COOLEY ST
SPRINGFIELD, MA 01128
Dentist (Orthodontics and Dentofacial Orthopedics)
376 COOLEY ST
SPRINGFIELD, MA 01128
Dentist (Orthodontics and Dentofacial Orthopedics)
376 COOLEY ST
SPRINGFIELD, MA 01128
Dentist (General Practice)
376 COOLEY ST, FIVE TOWN PLAZA
SPRINGFIELD, MA 01128
Dentist
376 COOLEY ST
SPRINGFIELD, MA 01128

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 Springfield Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Springfield Smiles Youth Dentistry, LLC is 1568533727. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Springfield Smiles Youth Dentistry, LLC located?

Springfield Smiles Youth Dentistry, LLC is located at 376 Cooley St, Springfield, MA 01128. The listed phone number is (413) 796-1616.

What is Springfield Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Springfield Smiles Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.