Maple Street Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAPLE STREET DENTAL PLLC

Doing business as

Longmeadow Dental Care

Practice address

813 Williams St Ste 207
Longmeadow, MA 01106-2052

Phone

(413) 567-1223

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Seth Eichenlaub, DMD

Title

President

Phone

(617) 515-2949

Specialties & licenses 1

Addresses

Other names 1

• Longmeadow Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Hausman, DDS

  • General Practice Dentistry
  • Longmeadow, MA
  • NPI 1942214424
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1982362638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAMPUS LN",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271429",
            "telephone_number": "617-515-2949",
            "fax_number": "413-527-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 WILLIAMS ST STE 207",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062052",
            "telephone_number": "413-567-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE STREET DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "EICHENLAUB",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-515-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longmeadow Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Lynch
• Sharon Maher, PA
• Freda L Malone, MSW
• Harleen Kaur Mand
• Deborah Manning, LCSW
• Mara M. Veronesi, LLC
• David L. Marinelli, M.D.
• Karen Elizabeth Marsian, DPM
• Breanne Checketts Martin
• Linda Martin

• Dental Clinic/Center in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.