| Lydia R Legg, MSD, DDS | |
|
41 West St Fl 3, Boston, MA 02111-1268 | |
| (617) 909-6011 | |
| Not Available |
| Full Name | Lydia R Legg |
|---|---|
| Gender | Female |
| Speciality | Dentist - Prosthodontics |
| Location | 41 West St Fl 3, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619179827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN1858884 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Brigham & Womens Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia R Legg, MSD, DDS 41 West St Fl 3, Boston, MA 02111-1268 Ph: (617) 909-6011 | Lydia R Legg, MSD, DDS 41 West St Fl 3, Boston, MA 02111-1268 Ph: (617) 909-6011 |
Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971 | |
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606 | |
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426 | |
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923 | |
Ahmad Muneer Ahmad Ismail, Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany Street, Boston, MA 02118 Phone: 617-358-8300 | |
Thitaya Chaiboonyarak, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 E Newton St, Boston, MA 02118 Phone: 617-358-8300 | |
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 |