Vyomita Kushwah, BDS

Individual provider Active NPI Dentist · Adams, MA

NPI 1770397705 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1770397705
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
DL100155 (MA)
Practice address
19 Depot St
Adams, MA 01220-1856
Phone
(413) 307-6044
NPI assigned
Feb 1, 2025
Sex
Female
Sole proprietor
Yes

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
DL100155MAMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X DL100155 MA Yes

Addresses

Primary practice location

19 Depot St
Adams, MA 01220-1856

Mailing address

444 Stockbridge Rd Ste 2
Great Barrington, MA 01230-1295
Phone (413) 528-5565

Other practice location 1

510 North St Ste 1
Pittsfield, MA 01201-4111
Phone (413) 447-2351

Other providers in Adams, MA

All providers in Adams, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.