WESTERN MASS DENTAL SPECIALTY SPRINGFIELD PC
NPI 1790591113
Dentist - Periodontics in Agawam, MA

Active since December 10, 2024

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Western Mass Dental Specialty Springfield Pc NPPES

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

WESTERN MASS DENTAL SPECIALTY SPRINGFIELD PC (NPI 1790591113) is a healthcare organization registered as a periodontics in Agawam, Massachusetts and active in the NPI registry since December 2024. The organization lists Christine Branigan, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1790591113
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN MASS DENTAL SPECIALTY SPRINGFIELD PC
Location Address158 MAIN STAgawam, MA 01001-1803
Mailing Address158 Main StAgawam, MA 01001-1803 · (413) 786-2341
Organization SubpartNo
Authorized OfficialChristine BraniganCredentialing Manager · (631) 696-0100
Enumeration DateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
NPI 1790591113 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.
158 MAIN ST, Agawam, MA 01001

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 2

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

Dentist (Periodontics)
158 MAIN ST
AGAWAM, MA 01001
Dentist (Periodontics)
158 MAIN ST
AGAWAM, MA 01001

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 Dental Specialty Springfield PC's NPI number?

The NPI number for Western Mass Dental Specialty Springfield PC is 1790591113. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Western Mass Dental Specialty Springfield PC located?

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

What is Western Mass Dental Specialty Springfield 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 Dental Specialty Springfield PC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.