Wilbraham Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13994 Issued in MA

Legal business name

WILBRAHAM FAMILY DENTISTRY, LLC

Practice address

85 Post Office Park
Wilbraham, MA 01095-1247

Phone

(413) 596-3881

Fax

(413) 596-3883

NPI assigned

May 10, 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. Stephen H Root, DDSNPI 1528125655

Title

Partner

Phone

(413) 596-3881

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.

• Stephen H Root, DDS

  • General Practice Dentistry
  • Wilbraham, MA
  • NPI 1528125655
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811102379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 POST OFFICE PARK",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951247",
            "telephone_number": "413-596-3881",
            "fax_number": "413-596-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POST OFFICE PARK",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951247",
            "telephone_number": "413-596-3881",
            "fax_number": "413-596-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBRAHAM FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "413-596-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellpoint Health Solutions, LLC
• Western Mass Periodontics, LLC
• Erika Whipple, LATC
• Sarah Magdalen White, MSPT
• Wilbraham Dental Associates, LLC
• Wilbraham Medical Investors LP (Life Care Center of Wilbraham)
• Wilbraham Orthodontics PC
• William D Welch Jr (Wilbraham Family Chiropractic)
• Wingate at Wilbraham, Inc. (Wingate at Wilbraham Rehab. & Skilled Nsg. Residence)
• Martha Woodard, PSY.D.

• General Practice Dentistry in Wilbraham, MA
• Providers in Wilbraham, 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.