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WESTERN MASS PERIODONTICS PC
NPI 1952052235
Dentist - Periodontics in Cromwell, CT

Active since January 18, 2022
75 BERLIN RD STE 108, CROMWELL, CT 06416(860) 635-1515 Get Directions Write a Review

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

About Western Mass Periodontics Pc NPPES

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

WESTERN MASS PERIODONTICS PC (NPI 1952052235) is a healthcare organization registered as a periodontics in Cromwell, Connecticut and active in the NPI registry since January 2022. The organization lists Leah Ann Maylott, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1952052235
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN MASS PERIODONTICS PC
Location Address75 BERLIN RD STE 108Cromwell, CT 06416-2633
Mailing Address65 Elm StWorcester, MA 01609-2547 · (860) 874-8198
Phone(860) 635-1515
Organization SubpartYes
Authorized OfficialLeah Ann MaylottCredentialing Administrator · (860) 874-8198
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1952052235 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.
75 BERLIN RD STE 108, Cromwell, CT 06416
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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 MULTIPLE SINGLE 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.

PEOPLESDENTAL, P.C.
Dentist (General Practice)
75 BERLIN RD STE 108
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-1515
DR. ZACHARY DAVID MEUNIER DMD
Dentist (General Practice)
75 BERLIN RD STE 108
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 756-5258

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 1952052235. It was assigned to this organization in the NPPES registry on January 18, 2022.

Where is Western Mass Periodontics PC located?

Western Mass Periodontics PC is located at 75 Berlin Rd Ste 108, Cromwell, CT 06416. The listed phone number is (860) 635-1515.

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.