| Family Dental Center | |
|
16 Clarke Street Unit 14 Lexington MA 02421 | |
| (781) 860-8828 | |
| (781) 860-8829 |
| Full Name | Family Dental Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 16 Clarke Street, Lexington, Massachusetts |
| Authorized Official Name and Position | Lynn T Lee (PRACTICE MANAGER) |
| Authorized Official Contact | 7814058356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Center 16 Clarke Street Unit 14 Lexington MA 02421 Ph: (781) 860-8828 | Family Dental Center 16 Clarke Street Unit 14 Lexington MA 02421 Ph: (781) 860-8828 |
| NPI Number | 1528133675 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528133675 | NPI | - | NPPES |
| X12146 | Other | MA | BCBS MA |
| 611 | Other | MA | DELTA MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16528 (Massachusetts) | Primary |
| 1223P0300X | Dentist - Periodontics | 18893 (Massachusetts) | Primary |
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