Wilbraham Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21246 Issued in MA

Legal business name

WILBRAHAM DENTAL ASSOCIATES, LLC

Practice address

70 Post Office Park
Wilbraham, MA 01095-1290

Phone

(413) 279-2016

NPI assigned

Aug 29, 2016

Last updated

Aug 29, 2016By 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. Christopher James Root, DMD FAGDNPI 1902837206

Title

Dentist/Owner

Phone

(413) 279-2016

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.

• Christopher James Root, DMD

  • General Practice Dentistry
  • Wilbraham, MA
  • NPI 1902837206
  Authorized official Same address or phone

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1982150025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 POST OFFICE PARK",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951290",
            "telephone_number": "413-279-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 POST OFFICE PARK",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951290",
            "telephone_number": "413-279-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBRAHAM DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "413-279-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabel Mukhwana Wangamati
• Wellpoint Health Solutions, LLC
• Western Mass Periodontics, LLC
• Erika Whipple, LATC
• Sarah Magdalen White, MSPT
• Wilbraham Family Dentistry, 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)

• 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 29, 2016; 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.