Provider Demographics
NPI:1184735326
Name:RIGALI & WALDER ORTHODONTICS
Entity type:Organization
Organization Name:RIGALI & WALDER ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:WALDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-586-8455
Mailing Address - Street 1:269 LOCUST STREET
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01062
Mailing Address - Country:US
Mailing Address - Phone:413-586-8455
Mailing Address - Fax:413-584-2261
Practice Address - Street 1:269 LOCUST STREET
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01062
Practice Address - Country:US
Practice Address - Phone:413-586-8455
Practice Address - Fax:413-584-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190031223X0400X
MA156151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty