Active NPIIndividual provider

Michael B Koidin, DDS, MSCD

Dentist, Orthodontics and Dentofacial Orthopedics in Lynn, Massachusetts

NPI Number1801871314
Practice location
77 Broad St, Lynn, MA 01902-5003
Fax
781-598-1670
Last updated
March 25, 2016

Michael B Koidin is a Dentist, Orthodontics and Dentofacial Orthopedics based in Lynn, MA. Michael B Koidin practices in Lynn, MA and has the professional credentials of DDS, MSCD. The NPI Number for Michael B Koidin is 1801871314 and holds a License No. 12700 (MA). The current practice location address for Michael B Koidin is 77 Broad St, Lynn, MA 01902-5003 and can be reached out via phone at 781-599-2900 and via fax at 781-598-1670.

Provider Profile Details

NPI Number
1801871314
Provider Name
Michael B Koidin
Credential
DDS, MSCD
Provider Entity Type
Individual
Gender
Male
Address
77 Broad St, Lynn, MA 01902-5003
Phone Number
781-599-2900
Fax Number
781-598-1670
Sole Proprietor
No
Provider Enumeration Date
December 8, 2005
Last Update Date
March 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Broad St
Lynn, MA 01902-5003
City
Lynn
Zip
01902-5003
Phone Number
781-599-2900
Fax Number
781-598-1670
Lynn, MA 01902Get directions →

Provider Business Mailing Address Details

Address
Po Box 233
Swampscott, MA 01907-0333
City
Swampscott
State
MA
Zip
01907-0333
Phone Number
781-599-2900
Fax Number
781-598-1670

License Information

License Number
12700
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Michael B Koidin, DDS, MSCD?

The NPI number of Michael B Koidin, DDS, MSCD is 1801871314. It was assigned on December 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Michael B Koidin, DDS, MSCD?

Michael B Koidin, DDS, MSCD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 12700.

Where does Michael B Koidin, DDS, MSCD practice?

The practice location is 77 Broad St, Lynn, MA 01902-5003. The office can be reached at 781-599-2900 (phone) or 781-598-1670 (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 1801871314 directly on the NPPES registry website.

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