WESTERN MASS PERIODONTICS PC
NPI 1457709180
Dentist - Periodontics in Agawam, MA

NPI Status: Active since June 03, 2016

Contact Information

158 MAIN ST
AGAWAM, MA
ZIP 01001
Phone: (413) 786-2341

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  • Organization
  • Dentist
  • Periodontics

About WESTERN MASS PERIODONTICS PC

This page provides the complete NPI Profile along with additional information for Western Mass Periodontics Pc, a provider established in Agawam, Massachusetts operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1457709180 assigned on June 2016. The practitioner's primary taxonomy code is 1223P0300X with license number 19671 (MA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Nobel Perio. The authorized official of this NPI record is Leah Ann Maylott (Credentialing Administrator)

NPI
1457709180
Provider Legal Name
WESTERN MASS PERIODONTICS PC
Other Organization Name
NOBEL PERIO
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
158 MAIN ST AGAWAM, MA 01001
Location Phone
(413) 786-2341
Mailing Address
65 ELM ST WORCESTER, MA 01609
Mailing Phone
(860) 874-8198
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-03-2016
Last Update Date
01-18-2022
Code Navigator

A dentist like Western Mass Periodontics Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
19671
License State
MA
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEAH ANN MAYLOTT

Authorized Official Title
CREDENTIALING ADMINISTRATOR
Authorized Official Phone
(860) 874-8198

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457709180
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410714018116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 4 + 0 + 1 + 8 + 1 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457709180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134331481DR. GEORGE ARTHUR VASSOS D.M.D.
Individual
Dentist (Periodontics)158 MAIN ST
AGAWAM, MA 01001
(413) 786-2341
1790591113WESTERN MASS DENTAL SPECIALTY SPRINGFIELD PC
Organization
Dentist (Periodontics)158 MAIN ST
AGAWAM, MA 01001
(413) 786-2341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457709180, enumerated in the NPI registry as an "organization" on June 03, 2016

The provider is located at 158 Main St Agawam, Ma 01001 and the phone number is (413) 786-2341

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on June 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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