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LEXINGTON SMILE STUDIO PC NPI 1154818359


NPI Information

NPI: 1154818359
Provider Name: LEXINGTON SMILE STUDIO, PC

Former Legal Business Name: LEXINGTON SMILE STUDIO

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
922 WALTHAM ST STE 202
LEXINGTON, MA
ZIP 02421
Phone: (781) 861-7645
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LEXINGTON SMILE STUDIO, PC is a prosthodontics dentist in Lexington, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. LEXINGTON SMILE STUDIO, PC NPI is 1154818359. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Lexington Smile Studio.

The provider's business location address is:

922 WALTHAM ST STE 202
LEXINGTON, MA
ZIP 02421-019
Phone: (781) 861-7645

The provider's authorized official is Alaaeddin Alwazzan .
The authorized official title is President and has the following contact phone number (617) 669-9839.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsYes

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

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