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Dr. Venu Kallam, DMD
General Practice Dentistry in Lynn, Massachusetts
NPI 1518120013

Venu Kallam is a General Practice Dentistry based in Malden, MA and is specialized in General Practice. Venu Kallam practices in Lynn, MA and has the professional credentials of DMD. The NPI Number for Venu Kallam is 1518120013 and holds a License No. 22210 (Massachusetts).

The current practice location address for Venu Kallam is 175 Union St, Lynn, MA and can be reached out via phone at 781-592-9200.

Location: 175 Union St, Lynn, MA, 02148-3431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518120013
Provider Name
Venu Kallam
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
175 Union St, Lynn, MA, 02148-3431
Phone Number
781-592-9200
Fax Number
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN22210 05 MA
institution
Provider Business Practice Location Address Details
Address
175 Union St
City
Lynn
State
Massachusetts
Zip
01901-1310
Phone Number
781-592-9200
Fax Number
person
Provider Business Mailing Address Details
Address
175 Union St
City
Lynn
State
Massachusetts
Zip
01901-1310
Phone Number
781-592-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22210 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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