| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 77 Broad St, Lynn, Massachusetts |
| Authorized Official Name and Position | Hubert J Park (PRESIDENT) |
| Authorized Official Contact | 6178956700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9 Montague St Unit C Cambridge MA 02139-3721 Ph: () - | 77 Broad St Lynn MA 01902-5003 Ph: (781) 599-2900 |
| NPI Number | 1619404852 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 05/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619404852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Stuart G Merle & Alan Zicherman Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Boston St, Lynn, MA 01904 Phone: 781-581-7798 | |
Union St Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Union St, Lynn, MA 01901 Phone: 781-592-9200 Fax: 781-592-9250 | |
Dr Meaney's Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Broadway, Lynn, MA 01904 Phone: 781-592-5919 | |
Gary P Wheeler Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Broadway, Lynn, MA 01904 Phone: 781-595-7953 Fax: 781-592-6861 | |
Lynn Dental Health Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Kirtland St, Lynn Dental Health, Lynn, MA 01905 Phone: 781-595-2552 Fax: 781-593-0730 |