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NPI Code Detail

MEDICARE: LYNN DENTAL HEALTH INC

MEDICARE: LYNN DENTAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255361424
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNN DENTAL HEALTH INC
Provider Business Mailing Address
First Line : 10 KIRTLAND ST
Second Line : LYNN DENTAL HEALTH
City : LYNN
State : MA
Zip : 01905-1821
Country : US
Telephone Number : 781-595-2552
Fax Number : 781-593-0730
Provider Business Practice Location Address
First Line : 10 KIRTLAND ST
Second Line : LYNN DENTAL HEALTH
City : LYNN
State : MA
Zip : 01905-1821
Country : US
Telephone Number : 781-595-2552
Fax Number : 781-593-0730
Authorized Official
Title or Position : OWNER DENTIST
Name : DR. JEYASRI GUNARAJASINGAM
Credential : DMD
Telephone Number : 781-595-2552
Provider Enumeration Date : 07/04/2006
Last Update Date : 08/22/2020

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Directions to “LYNN DENTAL HEALTH INC ” Practice Location

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