Active NPI
George Michael Quinlan Jr., D.D.S.
- General Practice Dentistry
- East Longmeadow, MA
National Provider Identifier
1952476830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9945
- Practice address
- 379 Porter Rd
East Longmeadow, MA 01028-1435 - Phone
- (413) 525-4199
- Fax
- (413) 525-4199
- NPI assigned
- Nov 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9945 | MA | Primary |
Addresses
Primary practice location
379 Porter Rd
East Longmeadow, MA 01028-1435
Mailing address
379 Porter Rd
East Longmeadow, MA 01028-1435
Phone (413) 525-4199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12 | Other | MA | DENTAL PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9945 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952476830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 PORTER RD",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281435",
"telephone_number": "413-525-4199",
"fax_number": "413-525-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 PORTER RD",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281435",
"telephone_number": "413-525-4199",
"fax_number": "413-525-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLAN",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "9945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL PROVIDER",
"identifier": "12",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Longmeadow, MA
Sources for this page
- 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.