| Dental28 | |
|
1725 Massachusetts Ave Lexington MA 02420-5306 | |
| (781) 863-5577 | |
| Not Available |
| Full Name | Dental28 |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 1725 Massachusetts Ave, Lexington, Massachusetts |
| Authorized Official Name and Position | Xingxue Harry Hu (DIRECTOR) |
| Authorized Official Contact | 7818635577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental28 1725 Massachusetts Ave Lexington MA 02420-5306 Ph: (781) 863-5577 | Dental28 1725 Massachusetts Ave Lexington MA 02420-5306 Ph: (781) 863-5577 |
| NPI Number | 1871034314 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 10/14/2021 |
| Medicare PECOS PAC ID | 6608271101 |
|---|---|
| Medicare Enrollment ID | O20210821000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871034314 | NPI | - | NPPES |
| 1223G0001X | Other | MA | GENERAL PRACTICE IN DENTISTRY |
| Provider Name | Xingxue Hu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588032395 PECOS PAC ID: 7012312259 Enrollment ID: I20210825003643 |
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