Organization
EDWARD SMOLA DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD H SMOLA DMD (OWNER DENTIST)
(413) 584-6557
Entity
Organization
Contact information
Practice address
63 EAST ST, HADLEY, MA 01035-9790
(413) 584-6557
(413) 584-3462
Mailing address
63 EAST ST, HADLEY, MA 01035-9790
(413) 584-6557
(413) 584-3462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10552
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020010552MA01
ANTHEM BLUE CROSS BLUE SH
MA
01
—
845318
UNITED CONCORDIA
MA
Enumeration date
04/17/2007
Last updated
08/22/2020
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