Boulder Brook Dental, Llc in Ludlow - General Practice
Boulder Brook Dental, Llc - NPI 1053350470
Boulder Brook Dental, Llc is a General Practice in Ludlow, Massachusetts. Boulder Brook Dental, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Boulder Brook Dental, Llc is 1053350470. The last update date is 2020-08-22.
Boulder Brook Dental, Llc's current location address is 104 Dowd Ct, Ludlow, Massachusetts. You can contact this provider via phone number 4135478085 and fax number 4135478085. The mailing address for Boulder Brook Dental, Llc is 104 Dowd Ct, Ludlow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulder Brook Dental, Llc |
|---|---|
| Address | 104 Dowd Ct, Ludlow, Massachusetts |
| Phone Number | 4135478085 |
| Fax Number | 4135478085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MBR/OWNER |
|---|---|
| Authorized Official Name | Chase A Kelly |
| Credentials | D.M.D |
| Telephone Number | 4135478085 |
NPI Number Detail
| NPI Number | 1053350470 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 104 Dowd Ct |
|---|---|
| City | Ludlow |
| State | Massachusetts (MA) |
| Post Code | 10561743 |
| Phone Number | 4135478085 |
| Fax Number | 4135478085 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 17956 |
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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. |
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What is the unique 10-digit identification code assigned to Boulder Brook Dental, Llc by the Centers for Medicare & Medicaid Services?
The Boulder Brook Dental, Llc has been issued the NPI (National Provider Identifier) 1053350470, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Boulder Brook Dental, Llc's physical address?
The Boulder Brook Dental, Llc is physically located at 104 Dowd Ct, in the city of Ludlow, MA, with the postal code 10561743.
What is Boulder Brook Dental, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Boulder Brook Dental, Llc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When was the Boulder Brook Dental, Llc's 1053350470 issued?
The Boulder Brook Dental, Llc's 1053350470 was issued on 2006-06-05.
When was the Boulder Brook Dental, Llc's information last updated?
The Boulder Brook Dental, Llc's information was last updated on 2020-08-22.