Active NPIOrganization

Lit Dental, P.c.

Dentist, General Practice in Wayland, Massachusetts

NPI Number1265064588
Practice location
109 Andrew Ave Ste 202, Wayland, MA 01778-3157
Fax
—
Last updated
February 5, 2020

Lit Dental, P.c. is a healthcare organization based in Wayland, MA. Lit Dental, P.c. practices in Wayland, MA. The NPI Number for Lit Dental, P.c. is 1265064588. The current practice location address for Lit Dental, P.c. is 109 Andrew Ave Ste 202, Wayland, MA 01778-3157 and can be reached out via phone at 508-358-2122.

Provider Profile Details

NPI Number
1265064588
Provider Name
Lit Dental, P.c.
Provider Entity Type
Organization
Address
109 Andrew Ave Ste 202, Wayland, MA 01778-3157
Phone Number
508-358-2122
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Miguel Ortiz, DMD · Owner/Prosthodontist · 626-315-2028
Other Names
Lit Dental Esthetics & Implant Center (Doing Business As)
Courtney Lavigne Dentistry (Other Name)
Provider Enumeration Date
February 5, 2020
Last Update Date
February 5, 2020
Certification Date
February 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Andrew Ave Ste 202
Wayland, MA 01778-3157
Zip
01778-3157
Phone Number
508-358-2122
Wayland, MA 01778Get directions →

Provider Business Mailing Address Details

Address
109 Andrew Ave Ste 202
Wayland, MA 01778-3157
City
Wayland
State
MA
Zip
01778-3157
Phone Number
508-358-2122

License Information

Taxonomy (1)
Dentist · 122300000X
Taxonomy (2)
Dental Hygienist · 124Q00000X
Taxonomy (3)
Dentist, Prosthodontics · 1223P0700X
Taxonomy (4)
Dental Assistant · 126800000X
Taxonomy (5)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lit Dental, P.c.?

The NPI number of Lit Dental, P.c. is 1265064588. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Lit Dental, P.c.?

Lit Dental, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Lit Dental, P.c. practice?

The practice location is 109 Andrew Ave Ste 202, Wayland, MA 01778-3157. The office can be reached at 508-358-2122 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265064588 directly on the NPPES registry website.

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