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NPI Code Detail

MEDICARE: THE VALLEY DENTISTS, LLP

MEDICARE: THE VALLEY DENTISTS, LLP
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
11223G0001XGeneral Practice Dentistry11754MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111754OTHERMAPETER CINNER, DDS
212723OTHERMARONALD MATUSON, DMD

General Provider Information

NPI Number : 1528121472
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE VALLEY DENTISTS, LLP
Provider Business Mailing Address
First Line : 138 RUSSELL ST
Second Line : P.O. BOX 408
City : HADLEY
State : MA
Zip : 01035-9533
Country : US
Telephone Number : 413-584-6275
Fax Number : 413-584-5938
Provider Business Practice Location Address
First Line : 138 RUSSELL ST
Second Line :
City : HADLEY
State : MA
Zip : 01035-9533
Country : US
Telephone Number : 413-584-6275
Fax Number : 413-584-5938
Authorized Official
Title or Position : PARTNER
Name : DR. PETER G. CINNER
Credential : DDS
Telephone Number : 413-584-6275
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
138 RUSSELL ST
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1609865849 — DR. PETER G. CINNER DDS
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1962527150 — DR. SUMEET SAXENA DDS
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1457470593 — DR. KENT STEVEN HESSE M.D.
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1750643722 — CONNECTICUT RIVER VALLEY DENTISTS, PC
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Directions to “THE VALLEY DENTISTS, LLP ” Practice Location

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