LUIS ALBERTO MOGOLLON
NPI 1962282756
Dentist - General Practice in Springfield, MA

Active since September 29, 2023
1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Alberto Mogollon NPPES

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

LUIS ALBERTO MOGOLLON (NPI 1962282756) is an individual general practice provider in Springfield, Massachusetts, licensed in Massachusetts (DL15634) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1962282756
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLUIS ALBERTO MOGOLLON
Location Address1049 MAIN STSpringfield, MA 01103-2114
Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1962282756 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 · DL15634
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.
1049 MAIN ST, Springfield, MA 01103

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacy (Community/Retail Pharmacy)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103
Dentist
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacist
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103

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 Luis Mogollon's NPI number?

The NPI number for Luis Mogollon is 1962282756. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Luis Mogollon located?

Luis Mogollon practices at 1049 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Luis Mogollon's specialty?

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

What insurance does Luis Mogollon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Luis Mogollon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luis Mogollon was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.