Western Mass Periodontics PC
Western Mass Periodontics PC is a Periodontics in Agawam, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.
- Licensed in
- MA
- In the registry since
- 2016
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
158 Main StAgawam, MA 01001
Phone: (413) 786-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 19671 (MA) |
|---|
Record details
| NPI number | 1457709180 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Western Mass Periodontics PC |
| Authorized official | Leah Maylott — Credentialing Administrator · (860) 874-8198 |
| Other names | Nobel Perio; Nobel Perio |
| NPI enumerated | June 3, 2016 |
| Last updated in NPPES | January 18, 2022 |
| Certification date | January 11, 2022 |
| Mailing address | 65 Elm St, Worcester, MA 01609-2547 |
Other providers in Agawam
-
Dr. George Arthur Vassos, DMD
158 Main St, Agawam, MA 01001-1803 · (413) 786-2341
-
Western Mass Dental Specialty Springfield PC
158 Main St, Agawam, MA 01001-1803 · (413) 786-2341