Atlantic Dental in Lynn - Dentist

Atlantic Dental - NPI 1770755514

Atlantic Dental is a Dentist in Lynn, Massachusetts. Atlantic Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Atlantic Dental is 1770755514. The last update date is 2008-04-01.

Atlantic Dental's current location address is 153 Lewis St, Lynn, Massachusetts. You can contact this provider via phone number 7815993553 and fax number 7815995959. The mailing address for Atlantic Dental is 153 Lewis St, Lynn, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Atlantic Dental
Address 153 Lewis St, Lynn, Massachusetts
Phone Number 7815993553
Fax Number 7815995959
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vasserman Ilya
Telephone Number 7815993553

NPI Number Detail

NPI Number 1770755514
Provider Enumeration Date 2008-04-01
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 153 Lewis St
City Lynn
State Massachusetts (MA)
Post Code 19024835
Phone Number 7815993553
Fax Number 7815995959

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 20020
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201421 MA --

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FAQs about Atlantic Dental

What is the unique 10-digit identification code assigned to Atlantic Dental by the Centers for Medicare & Medicaid Services?

The Atlantic Dental has been issued the NPI (National Provider Identifier) 1770755514, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Atlantic Dental?

The Atlantic Dental is physically situated at 153 Lewis St, in the city of Lynn, state of MA, with the postal code 19024835.

What is the area of specialization for Atlantic Dental, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Atlantic Dental is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Atlantic Dental receive the assignment of its 1770755514 from the Centers for Medicare & Medicaid Services?

The Atlantic Dental was issued its 1770755514 by the Centers for Medicare & Medicaid Services on 2008-04-01.

When was the Atlantic Dental's information last updated?

The Atlantic Dental's information was last updated on 2008-04-01.

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