Organization
DONOHUE & DONOHUE DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J DONOHUE D.M.D. (PRESIDENT)
(413) 737-7912
Entity
Organization
Contact information
Practice address
624 BELMONT AVE, SPRINGFIELD, MA 01108-2443
(413) 737-7912
(413) 734-6296
Mailing address
624 BELMONT AVE, SPRINGFIELD, MA 01108-2443
(413) 737-7912
(413) 734-6296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020014876MA-01
BCBS CT
CT
01
—
05029
DELTADENTAL RI
RI
01
—
420114
UNITED CONCORDIA
PA
01
—
X05069
BCBS MA
MA
Enumeration date
12/06/2005
Last updated
08/22/2020
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