Basic Information
Provider Information
NPI: 1528589868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAAVEDRA-CHAVEZ
FirstName: KAREN
MiddleName: JANET
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1049 MAIN ST
Address2:  
City: SPRINGFIELD
State: MA
PostalCode: 011032114
CountryCode: US
TelephoneNumber: 4137391100
FaxNumber: 4133044670
Practice Location
Address1: 1049 MAIN ST
Address2:  
City: SPRINGFIELD
State: MA
PostalCode: 011032114
CountryCode: US
TelephoneNumber: 4137391100
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2017
LastUpdateDate: 11/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X15026MAY Dental ProvidersDentist 

No ID Information.


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