MEDICARE: DR. PARAG SEHGAL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2.011664	CT
2	1223G0001X	General Practice Dentistry	DN1857431	MA

General Provider Information

NPI Number	:	1871967497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARAG SEHGAL DDS

Provider Business Mailing Address
First Line	:	1245 BOSTON RD
Second Line	:	SPRINGFIELD
City	:	SPRINGFIELD
State	:	MA
Zip	:	01119-1328
Country	:	US
Telephone Number	:	562-552-4954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 BOSTON RD
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01119-1328
Country	:	US
Telephone Number	:	203-575-9944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	10/24/2016

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Directions to “ DR. PARAG SEHGAL DDS” Practice Location

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