| Lexington Dental Group Llc | |
|
57 Bedford St Suite 110 Lexington MA 02420-4500 | |
| (781) 674-9995 | |
| Not Available |
| Full Name | Lexington Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 57 Bedford St, Lexington, Massachusetts |
| Authorized Official Name and Position | Richard T Miller (CEO) |
| Authorized Official Contact | 6179216292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Dental Group Llc 500 Chapman St Suite 201 Canton MA 02021-2093 Ph: (781) 562-0457 | Lexington Dental Group Llc 57 Bedford St Suite 110 Lexington MA 02420-4500 Ph: (781) 674-9995 |
| NPI Number | 1679000475 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679000475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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