Maple Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAPLE DENTAL ASSOCIATES

Practice address

79 Maple St
East Longmeadow, MA 01028

Phone

(413) 525-6821

Fax

(413) 525-5280

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shauna Ziemba

Title

Office Manager

Phone

(413) 525-6821

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Hollinger, DMD

  • General Practice Dentistry
  • E Longmeadow, MA
  • NPI 1346366002
  NPD (past)
• Julia Diane Reilly, D.M.D.

  • General Practice Dentistry
  • East Longmeadow, MA
  • NPI 1598052573
  NPD (past)
• Stephen P Scannell, DDS

  • General Practice Dentistry
  • E Long Meadow, MA
  • NPI 1821113994
  NPD (past)
• Najlaa Hanna, DMD

  • General Practice Dentistry
  • Plattsburgh, NY
  • NPI 1134414030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1194874545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MAPLE STREET",
            "address_2": "79 MAPLE STREET",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6821",
            "fax_number": "413-525-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6821",
            "fax_number": "413-525-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ZIEMBA",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-525-6821"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "0188",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X10693",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Maher, RD LDN
• John Michael Makowicz
• Thenu Manikantan, M.D.
• Raymond Manniello, D.D.S.
• Nichole Manning
• Ursa Marder
• Alissa Mariano, DMD, FACP
• Carolyn Mars
• Winifred Martin, LICSW, EDD
• Matuszczak Chiropratic Consulting

• General Practice Dentistry in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.