Organization
COMMONWEALTH OF MASSACHUSETS
Active
Parent organization
COMMONWEALTH OF MASSCHUSETTS
Other names
DDS SPRINGFIELD/WESTFIELD AREA OFFICE, SPRINGFIELD AREA OFFICE CM
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF MASSCHUSETTS
Authorized official
DYLAN LATTIMORE (DEPUTY COMMISSIONER FOR ADMINISTRAT)
(857) 408-0675
Entity
Organization
Contact information
Practice address
ONE FEDERAL STREET, BUILDING 111-2, SPRINGFIELD, MA 01105
(413) 784-1339
Mailing address
40 BROAD STREET, 4TH FLOOR, BOSTON, MA 02109
(917) 727-5608
(617) 624-7577
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000087A
—
MA
05
—
1813161
—
MA
Enumeration date
04/10/2007
Last updated
03/19/2026
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