| Lexington Dental Group Llc | |
| 
					35 Bedford St Ste 110 Lexington MA 02420-4320  | |
| (781) 674-9995 | |
| (978) 922-6727 | 
| Full Name | Lexington Dental Group Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 35 Bedford St Ste 110, Lexington, Massachusetts | 
| Authorized Official Name and Position | Lorraine Matheus (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 7815620457 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lexington Dental Group Llc 35 Bedford St Ste 16 Lexington MA 02420-4440 Ph: (781) 863-0096  | Lexington Dental Group Llc 35 Bedford St Ste 110 Lexington MA 02420-4320 Ph: (781) 674-9995  | 
| NPI Number | 1548861339 | 
|---|---|
| Provider Enumeration Date | 11/06/2020 | 
| Last Update Date | 11/06/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548861339 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
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