Individual
DR. JOHN RALEIGH HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 ALLEN STREET, HAMPDEN, MA 01036
(413) 566-3972
(413) 566-3868
Mailing address
2 ALLEN STREET, HAMPDEN, MA 01036
(413) 566-3972
(413) 566-3868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11131
MA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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