Active NPIOrganization

Pediatric Dental Professionals LLC

Dentist, Pediatric Dentistry in Lynn, Massachusetts

NPI Number1730544743
Practice location
391 Lynn Way, Bldg A, Lynn, MA 01901
Fax
—
Last updated
December 17, 2015

Pediatric Dental Professionals LLC is a healthcare organization based in Lynn, MA. Pediatric Dental Professionals LLC practices in Lynn, MA. The NPI Number for Pediatric Dental Professionals LLC is 1730544743 and holds a License No. DN-1855617 (MA). The current practice location address for Pediatric Dental Professionals LLC is 391 Lynn Way, Bldg A, Lynn, MA 01901 and can be reached out via phone at 617-393-5437.

Provider Profile Details

NPI Number
1730544743
Provider Name
Pediatric Dental Professionals LLC
Provider Entity Type
Organization
Address
391 Lynn Way, Bldg A, Lynn, MA 01901
Phone Number
617-393-5437
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Pedram Javedan, DDS, FAAPD · Dentist · 617-393-5437
Other Names
Lynn Kids Dental (Doing Business As)
Provider Enumeration Date
December 17, 2015
Last Update Date
December 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Lynn Way
Bldg A
Lynn, MA 01901
City
Lynn
Zip
01901
Phone Number
617-393-5437
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
575 Mount Auburn St Ste 201
Cambridge, MA 02138-4627
City
Cambridge
State
MA
Zip
02138-4627
Phone Number
617-393-5437

License Information

License Number
DN-1855617
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

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

Other Dentist, Pediatric Dentistry providers near Lynn, MA

View all Dentist, Pediatric Dentistry providers in Lynn →

Frequently Asked Questions

What is the NPI number of Pediatric Dental Professionals LLC?

The NPI number of Pediatric Dental Professionals LLC is 1730544743. It was assigned on December 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Pediatric Dental Professionals LLC?

Pediatric Dental Professionals LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN-1855617.

Where does Pediatric Dental Professionals LLC practice?

The practice location is 391 Lynn Way, Bldg A, Lynn, MA 01901. The office can be reached at 617-393-5437 (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 1730544743 directly on the NPPES registry website.

Browse related providers