Alliance Dental Care of East Longmeadow LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

ALLIANCE DENTAL CARE OF EAST LONGMEADOW LLC

Practice address

265A Benton Dr
East Longmeadow, MA 01028-3235

Phone

(413) 224-8590

NPI assigned

May 16, 2023

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1386335933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265A BENTON DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283235",
            "telephone_number": "413-224-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265A BENTON DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283235",
            "telephone_number": "413-224-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DENTAL CARE OF EAST LONGMEADOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Periodontics in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.