Provider Demographics
NPI:1528121472
Name:THE VALLEY DENTISTS, LLP
Entity type:Organization
Organization Name:THE VALLEY DENTISTS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:G
Authorized Official - Last Name:CINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-584-6275
Mailing Address - Street 1:138 RUSSELL ST
Mailing Address - Street 2:P.O. BOX 408
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9533
Mailing Address - Country:US
Mailing Address - Phone:413-584-6275
Mailing Address - Fax:413-584-5938
Practice Address - Street 1:138 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9533
Practice Address - Country:US
Practice Address - Phone:413-584-6275
Practice Address - Fax:413-584-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11754OtherPETER CINNER, DDS
MA12723OtherRONALD MATUSON, DMD