Kaitlin Elizabeth Martin Bancroft, DMD

Pediatric Dentistry · Longmeadow, MA

Individual Active NPI

NPI number 1417488651

Practice location

38 Oxford Rd
Longmeadow, MA 01106-1530
Phone
(413) 374-4566

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NPI record

NPI
1417488651
Entity type
Individual (Type 1)
Enumeration date
March 21, 2017
Last updated
September 18, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X DN1858482 MA
Dentist 122300000X S42646050 MA

Mailing address

63 Draper Rd
Wayland, MA 01778-2131
Phone
(413) 374-4566

About Dr. Bancroft

Kaitlin Elizabeth Martin Bancroft, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 38 Oxford Rd, Longmeadow, MA 01106-1530. The NPI number 1417488651 was assigned on March 21, 2017 and the record was last updated on September 18, 2019.

Dr. Bancroft lists 2 licenses in the registry: #DN1858482 (MA) for Pediatric Dentistry; #S42646050 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kaitlin Elizabeth Martin Bancroft, DMD?

The NPI number is 1417488651.

What is the phone number of Dr. Bancroft?

The phone number listed for the practice location is (413) 374-4566.

Where is Dr. Bancroft located?

38 Oxford Rd, Longmeadow, MA 01106-1530.

What is the taxonomy code for Dr. Bancroft?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

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.