CHURCH STREET DENTAL, PC
NPI 1720405632
Dentist in Chicopee, MA

Active since March 28, 2014
109 CHURCH ST STE 1, CHICOPEE, MA 01020(214) 336-9767 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Church Street Dental, Pc NPPES

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

CHURCH STREET DENTAL, PC (NPI 1720405632) is a healthcare organization registered as a dentist in Chicopee, Massachusetts and active in the NPI registry since March 2014. The organization lists Ranganayaki Chirumamilla, President, as its authorized official.

NPPES Registry Identity

NPI1720405632
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCHURCH STREET DENTAL, PC
Location Address109 CHURCH ST STE 1Chicopee, MA 01020-1814
Mailing Address109 Church St Ste 1Chicopee, MA 01020-1814 · (214) 336-9767
Organization SubpartNo
Authorized OfficialRanganayaki ChirumamillaPresident · (214) 336-9767
Enumeration DateMarch 28, 2014
NPI 1720405632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · 21848
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
109 CHURCH ST STE 1, Chicopee, MA 01020

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

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 Church Street Dental, PC's NPI number?

The NPI number for Church Street Dental, PC is 1720405632. It was assigned to this organization in the NPPES registry on March 28, 2014.

Where is Church Street Dental, PC located?

Church Street Dental, PC is located at 109 Church St Ste 1, Chicopee, MA 01020. The listed phone number is (214) 336-9767.

What is Church Street Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Church Street Dental, PC was last updated on March 28, 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.