=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972615334
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THOMAS & MICHELE ATKINSON DMD,P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 69 BRIDGE ST
-----------------------------------------------------
City | NORTHAMPTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01060-2402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-584-1722
-----------------------------------------------------
Fax | 413-584-5835
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 36 PLATINUM CIR
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01062-3663
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-584-1722
-----------------------------------------------------
Fax | 413-584-5835
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. MICHELE N ATKINSON
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 413-584-1722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 18386
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------