DR. MICHAEL GEORGE DOMINOV DDS NPI 1619074267

NPI Information

  • NPI: 1619074267
  • Provider Name: DR. MICHAEL GEORGE DOMINOV, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 17 FRANKLIN ST
    LEE, MA
    ZIP 01238
  • Phone: (413) 243-0098

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NPI Details

DR. Michael George Dominov, DDS is a general practice dentist in Lee, MA. The provider is 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. DR. Michael George Dominov, DDS NPI is 1619074267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17 FRANKLIN ST
LEE, MA
ZIP 01238-629
Phone: (413) 243-0098
Fax: (413) 243-2663

The enumeration date for this NPI number is 9/17/2006 and was last updated on 7/8/2007.

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
11223G0001XDentistGeneral Practice16758MASSACHUSETTSYes

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: 3/30/2025

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