LUX DENTAL CENTER NPI 1063025245

NPI Information

NPI: 1063025245
Provider Name: LUX DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
181 WASHINGTON ST
SOMERVILLE, MA
ZIP 02143
Phone: (617) 639-5942
Get Directions

LUX DENTAL CENTER is a dental clinic center in Somerville, MA. LUX DENTAL CENTER NPI is 1063025245. The provider is registered as an organization entity type.

The provider's business location address is:

181 WASHINGTON ST
SOMERVILLE, MA
ZIP 02143-137
Phone: (617) 639-5942
Fax: (888) 832-8267

The provider's authorized official is Abdullaibrahim Abdulwaheed .
The authorized official title is Owner and has the following contact phone number (617) 639-5942.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1053710400	MEDICAID	MASSACHUSETTS
2	1699143917	MEDICAID	MASSACHUSETTS
3	1427424332	MEDICAID	MASSACHUSETTS
4	1275916116	MEDICAID	MASSACHUSETTS
5	1578939351	MEDICAID	MASSACHUSETTS
6	1619347788	MEDICAID	MASSACHUSETTS
7	1083029102	MEDICAID	MASSACHUSETTS
8	1861878712	MEDICAID	MASSACHUSETTS
9	1922668961	MEDICAID	MASSACHUSETTS
10	1235752189	MEDICAID	MASSACHUSETTS
11	1760576250	MEDICAID	MASSACHUSETTS
12	1801220009	MEDICAID	MASSACHUSETTS
13	1851932198	MEDICAID	MASSACHUSETTS
14	1790121259	MEDICAID	MASSACHUSETTS
15	1891251559	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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