Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346943776 Individual Practitioner Female Practitioner

Carly Walz

Dentist - General Practice • Agawam, MA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Carly Walz is a registered healthcare professional specializing in Dentist - General Practice in Agawam, MA. Official NPI practice address is registered at 302 SUFFIELD ST.

Practice Location & Contact Primary Location

Practice Address

302 Suffield St

Agawam, MA 010011749

Telephone 4137860085
Associated Practice Facility / Clinic
🏢 Dental Studio Associates, Llc Facility NPI 1093871469

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Agawam, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Agawam, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859890

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

332 Suffield St

Agawam, MA 010012111

Phone: 4137860085

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Andrea Fallon , DMD

Dentist - General Practice

NPI 1275798753

Doctor of Dental Medicine

NPI 1316503527

Doctor of Dental Medicine

Dr. Maria Home-Gomez , DMD

Dentist - General Practice

NPI 1811742927

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 04, 2023

Registered at 302 SUFFIELD ST, AGAWAM, MA 010011749 (Tel: 4137860085)

📍
Updated Business Mailing Address August 04, 2023

Registered at 302 SUFFIELD ST, AGAWAM, MA 010011749 (Tel: 4137860085)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2023

Dentist (License #DN1859890 in MA)

NPI Profile Active March 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2023

Registered at 750 STEVENS AVE, PORTLAND, ME 041032623 (Tel: 2072214747)

📍
Updated Business Mailing Address March 24, 2023

Registered at 29 AMHERST ST FL 2, BIDDEFORD, ME 040052936 (Tel: 4135797877)

👤
Provider Name / Credentials Updated March 24, 2023

Recorded as CARLY WALZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346943776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2023
Last Update: August 04, 2023
Sole Proprietor: Yes

Mailing Address

302 Suffield St

Agawam, MA 010011749

Phone: 4137860085

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.