Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316105307 Individual Practitioner Female Practitioner

Dr. Kelly Marie Bouchard , DMD

Dentist - General Practice • West Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Bouchard, DMD is a registered healthcare professional specializing in Dentist - General Practice in West Springfield, MA. Practice services are available at 103 VAN DEENE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Van Deene Ave

West Springfield, MA 010893200

Telephone 4137333019
Fax 4137887387
Associated Practice Facility / Clinic
🏢 Kelly Bouchard Dmd Pc Facility NPI 1821008681

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Springfield, MA

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

Practicing in West Springfield, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 20552

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kyleen Kentish , RDH

Dental Hygienist

NPI 1366211336

Registered Dental Hygienist

Alexa Houle

Dental Hygienist

NPI 1457121279

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2008

Registered at 103 VAN DEENE AVE, WEST SPRINGFIELD, MA 010893200 (Tel: 4137333019)

📍
Updated Business Mailing Address May 28, 2008

Registered at 103 VAN DEENE AVE, WEST SPRINGFIELD, MA 010893200 (Tel: 4137333019)

👤
Provider Name / Credentials Updated May 28, 2008

Recorded as KELLY BOUCHARD, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2008

Dentist (License #20552 in MA)

🟢
Initial NPI Registration & Enumeration May 28, 2008

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: 1316105307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2008
Last Update: May 28, 2008
Sole Proprietor: No

Mailing Address

103 Van Deene Ave

West Springfield, MA 010893200

Phone: 4137333019

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.