Kelly Bouchard Dmd Pc in West Springfield - General Practice
Kelly Bouchard Dmd Pc - NPI 1821008681
Kelly Bouchard Dmd Pc is a General Practice in West Springfield, Massachusetts. Kelly Bouchard Dmd Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Bouchard Dmd Pc is 1821008681. The last update date is 2020-08-22.
Kelly Bouchard Dmd Pc's current location address is 103 Van Deene Avenue, West Springfield, Massachusetts. You can contact this provider via phone number 4137333019 and fax number 4137887387. The mailing address for Kelly Bouchard Dmd Pc is 103 Van Deene Avenue, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Bouchard Dmd Pc |
|---|---|
| Address | 103 Van Deene Avenue, West Springfield, Massachusetts |
| Phone Number | 4137333019 |
| Fax Number | 4137887387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Bouchard Kelly |
| Credentials | DMD |
| Telephone Number | 4137333019 |
NPI Number Detail
| NPI Number | 1821008681 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 103 Van Deene Avenue |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 1089 |
| Phone Number | 4137333019 |
| Fax Number | 4137887387 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20552 |
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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 identifier code issued to Kelly Bouchard Dmd Pc by the Centers for Medicare & Medicaid Services?
The Kelly Bouchard Dmd Pc has been assigned the NPI (National Provider Identifier) 1821008681. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly Bouchard Dmd Pc's facilities are geographically located?
The facilities of Kelly Bouchard Dmd Pc are physically situated at the following location: 103 Van Deene Avenue, West Springfield, MA, 1089.
What is the Kelly Bouchard Dmd Pc's specialty and taxonomy code?
The Kelly Bouchard Dmd Pc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Kelly Bouchard Dmd Pc receive its 1821008681 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Bouchard Dmd Pc was assigned its 1821008681 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date were the details pertaining to Kelly Bouchard Dmd Pc last refreshed?
The information related to the Kelly Bouchard Dmd Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.