Baystate Dental Practice, LLC
Baystate Dental Practice, LLC is a healthcare organization registered as General Practice Dentistry in Springfield, MA, holding Type 2 (organization) NPI 1295156636 since 2014. The authorized official on file is Ann Marie Santos, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295156636 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Baystate Dental Practice, LLC |
| Other name | <Unavail> |
| Practice address | 1795 MAIN ST, SUITE 215, Springfield, MA, 01103 |
| Phone | 4137336651 |
| Fax | 4137336653 |
| Enumeration date | 2014-01-03 |
| Last updated in NPPES | 2014-01-13 |
Authorized official
| Name | Ann Marie Santos |
|---|---|
| Title | Practice Manager |
| Phone | 4134390566 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN15623 | MA |
Copy-ready billing details
Provider: Baystate Dental Practice, LLC NPI: 1295156636 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1795 MAIN ST, SUITE 215, Springfield, MA, 01103
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457335366 | Alan Sampson | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MA |
| 1407813280 | Robert Leff | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Springfield, MA |
| 1801846324 | Kevin Coughlin | Individual | General Practice Dentistry | Springfield, MA |
| 1629021894 | Bart Cioccia | Individual | General Practice Dentistry | Springfield, MA |
| 1588619332 | Matthew Haluch | Individual | General Practice Dentistry | Springfield, MA |
| 1144334806 | Mohammad Moini | Individual | Periodontics | Springfield, MA |
| 1235243817 | Drs. Gold, Moini & Witzenberger, P.C. | Organization | Periodontics | Springfield, MA |
| 1538273131 | Thomas Witzenberger | Individual | Periodontics | Springfield, MA |
Verify this record
Cross-check NPI 1295156636 against the authoritative CMS record: view Baystate Dental Practice, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Baystate Dental Practice, LLC?
Who is the authorized official for Baystate Dental Practice, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-13.