New Dental28 Pllc is a Preferred Provider Organization based in Lexington, MA. New Dental28 Pllc practices in Lexington, MA. The NPI Number for New Dental28 Pllc is 1871034314 and holds a License No. (Massachusetts).
The current practice location address for New Dental28 Pllc is 1725 Massachusetts Ave, Lexington, MA and can be reached out via phone at 781-863-5577.
Location: 1725 Massachusetts Ave, Lexington, MA, 02420-5306
Provider Profile Details
NPI Number
1871034314
Provider Name
New Dental28 Pllc
Credential
Provider Entity Type
Organization
Address
1725 Massachusetts Ave, Lexington, MA, 02420-5306
Phone Number
781-863-5577
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | 01 | MA | GENERAL PRACTICE IN DENTISTRY |
Provider Business Practice Location Address Details
Address
1725 Massachusetts Ave
City
State
Zip
02420-5306
Phone Number
781-863-5577
Fax Number
Provider Business Mailing Address Details
Address
1725 Massachusetts Ave
City
State
Zip
02420-5306
Phone Number
781-863-5577
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DN1857061 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Oral Medicinist
Speciality
-
Taxonomy
License No.
()
Definition
A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
Provider's Taxonomy Details 4
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Provider's Taxonomy Details 5
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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