| Atlantic Dental | |
|
153 Lewis St Lynn MA 01902-4835 | |
| (781) 599-3553 | |
| (781) 599-5959 |
| Full Name | Atlantic Dental |
|---|---|
| Speciality | Dentist |
| Location | 153 Lewis St, Lynn, Massachusetts |
| Authorized Official Name and Position | Ilya Vasserman (PRESIDENT) |
| Authorized Official Contact | 7815993553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Dental 153 Lewis St Lynn MA 01902-4835 Ph: (781) 599-3553 | Atlantic Dental 153 Lewis St Lynn MA 01902-4835 Ph: (781) 599-3553 |
| NPI Number | 1770755514 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770755514 | NPI | - | NPPES |
| 0201421 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20020 (Massachusetts) | Primary |
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