Life, Commisso, & Walsh DMD's PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13261 Issued in MA

Legal business name

LIFE, COMMISSO, & WALSH DMD'S PC

Doing business as

Meadow Place Dental

Practice address

200 N. Main Street
Suite 1102
East Longmeadow, MA 01028

Phone

(413) 525-6123

Fax

(413) 525-8999

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer G. Walsh, DMD

Title

Dentist

Phone

(413) 525-6123

Specialties & licenses 1

Addresses

Other names 1

• Meadow Place Dental Doing business as

Locations

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1851366512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N. MAIN STREET",
            "address_2": "SUITE 1102",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6123",
            "fax_number": "413-525-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N. MAIN STREET",
            "address_2": "SUITE 1102",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-6123",
            "fax_number": "413-525-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE, COMMISSO, & WALSH DMD'S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "413-525-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Place Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadow Place Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxana Lashway
• Daniel Lavoie
• Pamela Leclair, PT
• Elaine N Lehan-Fitzgerald, M.D.
• Libertas Counseling, LLC
• Lawrence Willard Life, D.M.D.
• Lifeness Counseling, LLC
• Abigel Reyes Limos-Athuni, OTR/L
• Dorothy J Linder, OT
• Eric Lisitano, PT

• General Practice Dentistry in East Longmeadow, MA
• Providers in East Longmeadow, 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 10, 2019; 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.