Provider Demographics
NPI:1710362462
Name:DAVID A HIRSH & ASSOCIATES
Entity Type:Organization
Organization Name:DAVID A HIRSH & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:HIRSH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-734-9089
Mailing Address - Street 1:293 BRIDGE ST
Mailing Address - Street 2:SUITE 427
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1490
Mailing Address - Country:US
Mailing Address - Phone:413-734-9089
Mailing Address - Fax:413-787-1539
Practice Address - Street 1:293 BRIDGE ST
Practice Address - Street 2:SUITE 427
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1490
Practice Address - Country:US
Practice Address - Phone:413-734-9089
Practice Address - Fax:413-787-1539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty