Provider Demographics
NPI:1275541120
Name:OAKDALE DENTAL ASSOCIATES PC
Entity Type:Organization
Organization Name:OAKDALE DENTAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOHAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:LALCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-536-1782
Mailing Address - Street 1:1820 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-536-1782
Mailing Address - Fax:413-532-1400
Practice Address - Street 1:1820 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-536-1782
Practice Address - Fax:413-532-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA125851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty