NPIMap

Mukesh Agarwal

Individual provider Active NPI General Practice Dentistry · Holyoke, MA

NPI 1245434232 · NPPES record last updated Nov 17, 2011

Key facts

NPI
1245434232
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN21882 (MA)
Practice address
230 Maple St
Holyoke, MA 01040-5144
Phone
(413) 420-2200
Fax
(413) 539-9472
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN21882MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21882 MA Yes

Addresses

Primary practice location

230 Maple St
Holyoke, MA 01040-5144

Mailing address

P. O. Box 6260
320 Maple Street
Holyoke, MA 01041-6260
Phone (413) 420-2200

Other providers in Holyoke, MA

All providers in Holyoke, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.