Individual
GARY J RAPPAPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
167 DWIGHT RD, LONGMEADOW, MA 01106
(413) 567-5203
Mailing address
167 DWIGHT RD, LONGMEADOW, MA 01106
(413) 567-5203
(413) 565-5358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13714
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5500341
WED MD
—
01
—
X04205
BCBS
MA
Enumeration date
07/28/2006
Last updated
07/08/2007
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