# SPRINGFIELD FAMILY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477277507
- **Authorized official:** RAYMOND JOSEPH RUDDY (CFO)
- **Authorized official phone:** (508) 505-7981

## Contact information

- **Practice address:** 339 SQUIRE RD STE 150, REVERE, MA 02151-4396
- **Practice address phone:** (781) 286-7510
- **Mailing address:** 945 CONCORD ST, FRAMINGHAM, MA 01701-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022