- Practice location
- 153 Lewis Str, Lynn, MA 01902
- Phone
- 781-599-3553
- Fax
- 781-599-5959
- Last updated
- July 8, 2007
Ilya Vasserman is a Dentist based in Lynn, MA. Ilya Vasserman practices in Lynn, MA and has the professional credentials of DMD. The NPI Number for Ilya Vasserman is 1790900892 and holds a License No. 20020 (MA). The current practice location address for Ilya Vasserman is 153 Lewis Str, Lynn, MA 01902 and can be reached out via phone at 781-599-3553 and via fax at 781-599-5959.
Provider Profile Details
- NPI Number
- 1790900892
- Provider Name
- Ilya Vasserman
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 153 Lewis Str, Lynn, MA 01902
- Phone Number
- 781-599-3553
- Fax Number
- 781-599-5959
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 153 Lewis Str
Lynn, MA 01902 - City
- Lynn
- State
- Massachusetts
- Zip
- 01902
- Phone Number
- 781-599-3553
- Fax Number
- 781-599-5959
Provider Business Mailing Address Details
- Address
- 153 Lewis Str
Lynn, MA 01902 - City
- Lynn
- State
- MA
- Zip
- 01902
- Phone Number
- 781-599-3553
- Fax Number
- 781-599-5959
License Information
- License Number
- 20020
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Lynn, MA
View all Dentists in Lynn →Frequently Asked Questions
What is the NPI number of Ilya Vasserman, DMD?
The NPI number of Ilya Vasserman, DMD is 1790900892. It was assigned on April 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ilya Vasserman, DMD?
Ilya Vasserman, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20020.
Where does Ilya Vasserman, DMD practice?
The practice location is 153 Lewis Str, Lynn, MA 01902. The office can be reached at 781-599-3553 (phone) or 781-599-5959 (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 1790900892 directly on the NPPES registry website.