Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAITLIN ELIZABETH MARTIN BANCROFT, DMD
Active Sole ProprietorDR. KAITLIN ELIZABETH MARTIN BANCROFT, DMD is a Pediatric Dentistry healthcare provider located in LONGMEADOW, Massachusetts. NPI 1417488651 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LONGMEADOW, MA
Registration Details
- NPI Number
- 1417488651
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2017 (9.4172521737938 yrs)
- Last Updated
- Sep 18, 2019
- Licenses
-
S42646050 (MA)DN1858482 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
38 OXFORD RDLONGMEADOW, MA, 011061530Browse MA providers · Browse ZIP 01106
- Phone
- 4133744566
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in LONGMEADOW, MA
| Name | Credential | NPI |
|---|---|---|
| HUSSAM GHARRAPH | DDS | 1902965940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.