Mitchell B Resnick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 12187-1 Issued in MA

Practice address

488 Newton St
Suite 1
South Hadley, MA 01075-2010

Phone

(413) 538-9604

Fax

(413) 534-3533

NPI assigned

Jul 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821095092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 NEWTON ST",
            "address_2": "SUITE 1",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752010",
            "telephone_number": "413-538-9604",
            "fax_number": "413-534-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 NEWTON ST",
            "address_2": "SUITE 1",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752010",
            "telephone_number": "413-538-9604",
            "fax_number": "413-534-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "MITCHELL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN 12187-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joella Ann Raiche, M.ED., LMHC
• Arleen A. Read, RN, NP
• Elizabeth Reardon
• Jeffrey Mark Reed, PHARMD
• Alexisandria Reese, DOULA
• John K. Rhicard, D.M.D.
• Vanessa Jane Rice
• Alicia Lauren Richter
• Lisa Marie Rigali
• Stacy Lynne Riley

• 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 Jul 8, 2007; 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.