Organization
MAPLE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA ZIEMBA (OFFICE MANAGER)
(413) 525-6821
Entity
Organization
Contact information
Practice address
79 MAPLE ST, EAST LONGMEADOW, MA 01028
(413) 525-6821
(413) 525-5280
Mailing address
79 MAPLE STREET, 79 MAPLE STREET, EAST LONGMEADOW, MA 01028
(413) 525-6821
(413) 525-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188
DELTA DENTAL
MA
01
—
X10693
BCBS
MA
Enumeration date
01/08/2007
Last updated
08/27/2024
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