LAKEVILLE DENTAL ASSOCIATES P.C. NPI 1710156930

NPI Information

NPI: 1710156930
Provider Name: LAKEVILLE DENTAL ASSOCIATES, P.C.

Former Legal Business Name: LAKEVILLE DENTAL ASSOCIATES, LLC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
54 MAIN ST
SUITE 6
LAKEVILLE, MA
ZIP 02347
Phone: (508) 923-6900
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LAKEVILLE DENTAL ASSOCIATES, P.C. is a dental clinic center in Lakeville, MA. LAKEVILLE DENTAL ASSOCIATES, P.C. NPI is 1710156930. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lakeville Dental Associates, Llc.

The provider's business location address is:

54 MAIN ST
SUITE 6
LAKEVILLE, MA
ZIP 02347-621
Phone: (508) 923-6900
Fax: (508) 946-0306

The provider's authorized official is Chuong Pham .
The authorized official title is Dentist and has the following contact phone number (508) 923-6900.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.

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	20826	MASSACHUSETTS	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	Other Provider Identifier Issuer
1	X12180	OTHER	MASSACHUSETTS	BCBS OF MA
2	1811540	OTHER	MASSACHUSETTS	UNITED CONCORDIA

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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