National Provider Identifier Database

HAMPDEN COUNTY ORAL SURGERY PLLC
Dental


Contact Information

HAMPDEN COUNTY ORAL SURGERY PLLC
664 COLLEGE HWY
SOUTHWICK, MA01077-9260
Phone: 413-642-5250
Fax: 413-831-6366
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for HAMPDEN COUNTY ORAL SURGERY PLLC

NPI Number 1578270039
Legal business name
LBN
HAMPDEN COUNTY ORAL SURGERY PLLC
Authorized official JONATHAN SUDOL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/03/2022
Last updated 05/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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