Western Mass Periodontics Pc is a Periodontology Clinic in Agawam, Massachusetts. This organization is also known as sub part of Western Mass Periodontics Pc. It is located at 158 Main St, Agawam, MA and its contact number is 413-786-2341. The authorized person for Western Mass Periodontics Pc is Leah Ann Maylott
who is Credentialing Administrator of the clinic and their contact number is 860-874-8198. The primary license number for Western Mass Periodontics Pc is 19671 (Periodontics) in Massachusetts. Western Mass Periodontics Pc Clinic is specialized in that branch 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.
Complete Clinic Profile:
Western Mass Periodontics Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Western Mass Periodontics Pc
Specialization:
Periodontology
Clinic Address:
158 Main St, Agawam, Massachusetts, 01001
Phone:
413-786-2341
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Leah Ann Maylott
Position:
Credentialing Administrator
Contact Number:
860-874-8198
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Western Mass Periodontics Pc clinic are as mentioned below.
NPI Number:
1457709180
Parent Organization:
Western Mass Periodontics Pc
NPI Enumeration Date:
03 Jun, 2016
NPI Last Update On:
18 Jan, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Western Mass Periodontics Pc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
19671
Massachusetts
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Western Mass Periodontics Pc 65 Elm St, Worcester, Massachusetts
Zip:
01609-2547
Phone Number:
860-874-8198
Patients can reach Western Mass Periodontics Pc at 158 Main St, Agawam, Massachusetts or can call to book an appointment on 413-786-2341. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.