Springfield Family Dental PC
Clinic/Center, Dental in Chelsea, MA. Organization (NPI-2).
NPI number1609590736
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1609590736
- Entity type
- Organization (NPI-2)
- Legal business name
- Springfield Family Dental PC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2 Washington AveChelsea, MA 02150-3902
Phone 617-887-2100
Mailing address
945 Concord StFramingham, MA 01701-4613
Authorized official
Raymond Joseph Ruddy
Cfo
5085057981
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Dental Clinic/Center providers in Chelsea · All 1,132 providers in Chelsea
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