South Hadley Dental Associates, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17568 Issued in MA

Legal business name

SOUTH HADLEY DENTAL ASSOCIATES, INC.

Practice address

15 Dayton St
South Hadley, MA 01075-1924

Phone

(413) 536-4455

Fax

(413) 532-1757

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By 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

Dr. Marjorie Block, DMD

Title

Owner

Phone

(413) 536-4455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjorie Block Robinson, DMD

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1841204302
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538283635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DAYTON ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751924",
            "telephone_number": "413-536-4455",
            "fax_number": "413-532-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DAYTON ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751924",
            "telephone_number": "413-536-4455",
            "fax_number": "413-532-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HADLEY DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-536-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sthela Clairece Sibley-Welch, RBT
• Judith Skillings, PSY.D.
• Suzanne E Sloboda, AS ECE, BS SPED, MS
• Robert D Smith, DO
• South Hadley Board of Health
• South Hadley Dental Group, LLC
• South Hadley Fire District No. 2
• South Hadley Rehabilitation and Nursing Center LLC
• Stephanie Spock
• Hal Sposato, LCSW, MSW

• General Practice Dentistry in South Hadley, MA
• Providers in South Hadley, 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 22, 2020; 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.