Gary Frank Circosta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11938 Issued in MA

Practice address

93 Van Deene Ave
West Springfield, MA 01089-3236

Phone

(413) 734-9400

Fax

(413) 734-9408

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316935448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEECHWOOD DR",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431751",
            "telephone_number": "508-886-6451",
            "fax_number": "508-886-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 VAN DEENE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893236",
            "telephone_number": "413-734-9400",
            "fax_number": "413-734-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCOSTA",
        "first_name": "GARY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J. Ciak, MSW, LICSW
• Lena Marie Ciborowski
• Alison Cienciwa
• Abigail K Cimini
• Christina Cintron
• Frances Cisero
• Jada Gail Clark
• Alexiana Clarke
• Cleanslate Centers, LLC
• Joanna Marie Clemens

• 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 13, 2026; 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.