Active NPIIndividual provider

Dr. Lagina D Bickham, DMD

Dentist, General Practice in Roxbury, Massachusetts

NPI Number1508943382
Practice location
55 Dimock St, Roxbury, MA 02119-1029
Fax
617-541-0950
Last updated
July 8, 2007

Lagina Dawn Bickham is a Dentist, General Practice based in Roxbury, MA. Lagina Dawn Bickham practices in Roxbury, MA and has the professional credentials of DMD. The NPI Number for Lagina Dawn Bickham is 1508943382 and holds a License No. D18179 (MA). The current practice location address for Lagina Dawn Bickham is 55 Dimock St, Roxbury, MA 02119-1029 and can be reached out via phone at 617-442-8800 and via fax at 617-541-0950.

Provider Profile Details

NPI Number
1508943382
Provider Name
Lagina Dawn Bickham
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
55 Dimock St, Roxbury, MA 02119-1029
Phone Number
617-442-8800
Fax Number
617-541-0950
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Dimock St
Roxbury, MA 02119-1029
Zip
02119-1029
Phone Number
617-442-8800
Fax Number
617-541-0950
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
17 Dryden Ave
Pawtucket, RI 02860-5720
City
Pawtucket
State
RI
Zip
02860-5720
Phone Number
401-487-1285

License Information

License Number
D18179
License State
MA
Taxonomy
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 Dr. Lagina D Bickham, DMD?

The NPI number of Dr. Lagina D Bickham, DMD is 1508943382. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lagina D Bickham, DMD?

Dr. Lagina D Bickham, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number D18179.

Where does Dr. Lagina D Bickham, DMD practice?

The practice location is 55 Dimock St, Roxbury, MA 02119-1029. The office can be reached at 617-442-8800 (phone) or 617-541-0950 (fax).

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 1508943382 directly on the NPPES registry website.

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