The Loose Tooth
Health Maintenance Organization · Chicopee, MA
Practice location
874 Prospect StChicopee, MA 01020-3107
- Phone
- (413) 888-6767
- Fax
- (413) 888-6766
NPI record
- NPI
- 1750689576
- Entity type
- Organization (Type 2)
- Enumeration date
- March 2, 2011
- Last updated
- March 2, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Health Maintenance Organization Primary | 302R00000X |
DH11413 | MA |
Authorized official
- Name
- Mrs. Jennifer Hauschild, RDH, PHDH
- Title
- Owner, Opperator
- Phone
- 14138886767
About The Loose Tooth
The Loose Tooth is a healthcare organization registered in the NPI registry with the primary taxonomy Health Maintenance Organization (code 302R00000X). The practice location is 874 Prospect St, Chicopee, MA 01020-3107. The NPI number 1750689576 was assigned on March 2, 2011 and the record was last updated on March 2, 2011.
The Loose Tooth lists a license in the registry: #DH11413 (MA) for Health Maintenance Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mrs. Jennifer Hauschild, RDH, PHDH, Owner, Opperator.
Frequently asked questions
What is the NPI number of The Loose Tooth?
The NPI number is 1750689576.
What is the phone number of The Loose Tooth?
The phone number listed for the practice location is (413) 888-6767.
Where is The Loose Tooth located?
874 Prospect St, Chicopee, MA 01020-3107.
What is the taxonomy code for The Loose Tooth?
The primary taxonomy code is 302R00000X – Health Maintenance Organization.
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.