Organization
WEGRZYN DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOSEPH WEGRZYN JR. DMD (OWNER)
(413) 592-8099
Entity
Organization
Contact information
Practice address
391 MONTGOMERY ST, CHICOPEE, MA 01020-1929
(413) 592-8099
(413) 592-5839
Mailing address
391 MONTGOMERY ST, CHICOPEE, MA 01020-1929
(413) 592-8099
(413) 592-5839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426492
UNITED CONCORDIA TRI CARE
CA
01
—
X11395
BCBS MASS
MA
Enumeration date
03/15/2007
Last updated
01/25/2017
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