Organization
HAMPDEN COUNTY ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHARLES SUDOL DMD (OWNER)
(413) 642-5250
Entity
Organization
Contact information
Practice address
664 COLLEGE HWY, SOUTHWICK, MA 01077-9260
(413) 642-5250
(413) 831-6366
Mailing address
PO BOX 1146, SOUTHWICK, MA 01077-1146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
05/11/2023
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