Organization
HAMPSHIRE MEADOW FAMILY & PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOELLE NUBANI DMD (CEO)
(617) 669-6925
Entity
Organization
Contact information
Practice address
207 RUSSELL ST APT 18, HADLEY, MA 01035-5907
(413) 387-4636
Mailing address
207 RUSSELL ST APT 18, HADLEY, MA 01035-5907
(413) 387-4636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417360934
DENTIST
MA
Enumeration date
05/28/2019
Last updated
05/28/2019
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