Capital Area Hudson Valley New York Dental PC
Dentist, General Practice in Greenfield, MA. Organization (NPI-2).
NPI number1164565016
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1164565016
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital Area Hudson Valley New York Dental PC
- Organization subpart
- Yes
- Enumeration date
- Feb 14, 2007
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- 1st Advantage Dental - Greenfield (Doing Business As)
Practice location
489 Bernardston Rd Ste 206Greenfield, MA 01301-1239
Phone 413-773-3850 · Fax 413-773-5300
Mailing address
489 Bernardston Rd Ste 206Greenfield, MA 01301-1239
Phone 413-773-3850 · Fax 413-773-5300
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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