| Lawrence Smile Design Llc | |
| 
					171 S Broadway Lawrence MA 01843-1426  | |
| (978) 989-9988 | |
| (978) 989-9088 | 
| Full Name | Lawrence Smile Design Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 171 S Broadway, Lawrence, Massachusetts | 
| Authorized Official Name and Position | Celia Huang (DENTIST / OWER) | 
| Authorized Official Contact | 9789899988 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988  | Lawrence Smile Design Llc 171 S Broadway Lawrence MA 01843-1426 Ph: (978) 989-9988  | 
| NPI Number | 1629557178 | 
|---|---|
| Provider Enumeration Date | 08/07/2018 | 
| Last Update Date | 10/04/2021 | 
| Medicare PECOS PAC ID | 1355749250 | 
|---|---|
| Medicare Enrollment ID | O20211007000246 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629557178 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | DN1856884 (Massachusetts) | Primary | 
| Provider Name | Celia Fei Huang | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1447639034 PECOS PAC ID: 0446658603 Enrollment ID: I20211004002104  | 
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