Healthcare Provider Details

I. General information

NPI: 1518829704
Provider Name (Legal Business Name): MONTSHIRE WEST SPRINGFIELD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 DAGGETT DR
WEST SPRINGFIELD MA
01089-4638
US

IV. Provider business mailing address

46 DAGGETT DR
WEST SPRINGFIELD MA
01089-4638
US

V. Phone/Fax

Practice location:
  • Phone: 413-737-6906
  • Fax:
Mailing address:
  • Phone: 413-737-6906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: COLIN BOSWELL
Title or Position: OWNER
Credential: DDS
Phone: 641-780-7792