| Lexington Dental Group Llc | |
| 
					35 Bedford St Ste 16 Lexington MA 02420-4440  | |
| (781) 863-0096 | |
| Not Available | 
| Full Name | Lexington Dental Group Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 35 Bedford St Ste 16, Lexington, Massachusetts | 
| Authorized Official Name and Position | Vicki J Kenney (CREDENTIALING SPECIALIST) | 
| Authorized Official Contact | 7815620457 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lexington Dental Group Llc 500 Chapman St Unit 201 Canton MA 02021-2040 Ph: (781) 562-0457  | Lexington Dental Group Llc 35 Bedford St Ste 16 Lexington MA 02420-4440 Ph: (781) 863-0096  | 
| NPI Number | 1922652767 | 
|---|---|
| Provider Enumeration Date | 07/30/2019 | 
| Last Update Date | 07/30/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922652767 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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