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KELLY BOUCHARD DMD PC
NPI 1821008681
Dentist - General Practice in West Springfield, MA

Active since August 08, 2006
103 VAN DEENE AVENUE, WEST SPRINGFIELD, MA 01089(413) 733-3019(413) 788-7387 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Bouchard Dmd Pc NPPES

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

KELLY BOUCHARD DMD PC (NPI 1821008681) is a healthcare organization registered as a general practice in West Springfield, Massachusetts and active in the NPI registry since August 2006. The organization lists Kelly Bouchard, Owner President, as its authorized official.

NPPES Registry Identity

NPI1821008681
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKELLY BOUCHARD DMD PC
Location Address103 VAN DEENE AVENUEWest Springfield, MA 01089
Mailing Address103 Van Deene AvenueWest Springfield, MA 01089 · (413) 733-3019 · Fax (413) 788-7387
Phone(413) 733-3019
Fax(413) 788-7387
Organization SubpartNo
Authorized OfficialKelly BouchardOwner President · (413) 733-3019
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821008681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 20552
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.
103 VAN DEENE AVENUE, West Springfield, MA 01089
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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 SINGLE 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 Kelly Bouchard Dmd PC's NPI number?

The NPI number for Kelly Bouchard Dmd PC is 1821008681. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Kelly Bouchard Dmd PC located?

Kelly Bouchard Dmd PC is located at 103 Van Deene Avenue, West Springfield, MA 01089. The listed phone number is (413) 733-3019.

What is Kelly Bouchard Dmd PC'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 Kelly Bouchard Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.