The Loose Tooth
The Loose Tooth is a Health Maintenance Organization in Chicopee, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.
- Licensed in
- MA
- In the registry since
- 2011
Practice location Address checks out
874 Prospect StChicopee, MA 01020-3107
Phone: (413) 888-6767
Fax: (413) 888-6766
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence DH11413 (MA) |
|---|
Record details
| NPI number | 1750689576 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Hauschild — Owner, Opperator · (413) 888-6767 |
| NPI enumerated | March 2, 2011 |
| Last updated in NPPES | March 2, 2011 |
| Mailing address | 874 Prospect St, Chicopee, MA 01020-3107 |