Andrea R Scollard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1857681 Issued in MA

Practice address

46 Daggett Dr Ste 2C
West Springfield, MA 01089-4646

Phone

(225) 921-9793

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Scollard & Associates Family Dentistry PLLC

  • Dental Clinic/Center
  • West Springfield, MA
  • NPI 1841862075
  NPD Authorized official

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1306221452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SANDALWOOD DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951544",
            "telephone_number": "225-921-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DR STE 2C",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894646",
            "telephone_number": "225-921-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLLARD",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1857681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Deeley Schreiber, RDN, LDN
• Jennifer L Schultz, PA-C
• Gail G Schwartz, LICSW
• Elizabeth Sciarra
• Jill Amy Scibelli, MSN, MBA, RN
• Adminda Scott, ED.D, LMHC
• Katherine Anne Scott, NP
• Martha Scott, LCSW
• Kelly Scroggins, MSW INTERN
• Omar Seguinot Quintana

• General Practice Dentistry in West Springfield, MA
• Providers in West Springfield, 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 Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.