Mikhail Gomer DMD PC
Dentist, General Practice in Lawrence, Massachusetts
1639207475- Practice location
- 525 South Broadway, Lawrence, MA 01843-2837
- Phone
- 978-682-0641
- Fax
- 978-682-0644
- Last updated
- July 24, 2015
Mikhail Gomer DMD PC is a healthcare organization based in Lawrence, MA. Mikhail Gomer DMD PC practices in Lawrence, MA. The NPI Number for Mikhail Gomer DMD PC is 1639207475 and holds a License No. 21083 (MA). The current practice location address for Mikhail Gomer DMD PC is 525 South Broadway, Lawrence, MA 01843-2837 and can be reached out via phone at 978-682-0641 and via fax at 978-682-0644.
Provider Profile Details
- NPI Number
- 1639207475
- Provider Name
- Mikhail Gomer DMD PC
- Provider Entity Type
- Organization
- Address
- 525 South Broadway, Lawrence, MA 01843-2837
- Phone Number
- 978-682-0641
- Fax Number
- 978-682-0644
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Mikhail Gomer, DMD · Owner · 978-682-0641
- Other Names
- Mount Vernon Dental Solutions (Doing Business As)
- Provider Enumeration Date
- March 1, 2007
- Last Update Date
- July 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 525 South Broadway
Lawrence, MA 01843-2837 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01843-2837
- Phone Number
- 978-682-0641
- Fax Number
- 978-682-0644
Provider Business Mailing Address Details
- Address
- 525 South Broadway
Lawrence, MA 01843-2837 - City
- Lawrence
- State
- MA
- Zip
- 01843-2837
- Phone Number
- 978-682-0641
- Fax Number
- 978-682-0644
License Information
- License Number
- 21083
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mikhail Gomer DMD PC?
The NPI number of Mikhail Gomer DMD PC is 1639207475. It was assigned on March 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Mikhail Gomer DMD PC?
Mikhail Gomer DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21083.
Where does Mikhail Gomer DMD PC practice?
The practice location is 525 South Broadway, Lawrence, MA 01843-2837. The office can be reached at 978-682-0641 (phone) or 978-682-0644 (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 1639207475 directly on the NPPES registry website.