Provider Demographics
NPI:1255451878
Name:WARREN, BINCA C (DMD)
Entity type:Individual
Prefix:DR
First Name:BINCA
Middle Name:C
Last Name:WARREN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 WINSOR ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-3523
Mailing Address - Country:US
Mailing Address - Phone:413-583-3324
Mailing Address - Fax:413-583-5124
Practice Address - Street 1:264 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2857
Practice Address - Country:US
Practice Address - Phone:413-584-2902
Practice Address - Fax:413-586-9904
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice