Provider Demographics
NPI:1700920394
Name:YANNI, JANICE MARIE (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:MARIE
Last Name:YANNI
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Gender:F
Credentials:DDS, PC
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Mailing Address - Street 1:180 WESTFIELD ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2508
Mailing Address - Country:US
Mailing Address - Phone:413-739-4400
Mailing Address - Fax:413-739-4492
Practice Address - Street 1:180 WESTFIELD ST
Practice Address - Street 2:SUITE C
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2508
Practice Address - Country:US
Practice Address - Phone:413-739-4400
Practice Address - Fax:413-739-4492
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA205731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics