David John Vanderboom, DMD

General Practice Dentistry · Chicopee, MA

Individual Active NPI

NPI number 1295867992

Practice location

1146 Memorial Dr
Chicopee, MA 01020-3960
Phone
(413) 593-8904
Fax
(413) 593-5366

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NPI record

NPI
1295867992
Entity type
Individual (Type 1)
Enumeration date
March 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21684 MA

Mailing address

46 Republic Dr
Bloomfield, CT 06002-5455
Phone
(617) 471-0223

About Dr. Vanderboom

David John Vanderboom, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1146 Memorial Dr, Chicopee, MA 01020-3960. The NPI number 1295867992 was assigned on March 9, 2007 and the record was last updated on July 8, 2007.

Dr. Vanderboom lists a license in the registry: #21684 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David John Vanderboom, DMD?

The NPI number is 1295867992.

What is the phone number of Dr. Vanderboom?

The phone number listed for the practice location is (413) 593-8904.

Where is Dr. Vanderboom located?

1146 Memorial Dr, Chicopee, MA 01020-3960.

What is the taxonomy code for Dr. Vanderboom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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