Lawrence Smiles Youth Dentistry, Llc | |
73c Winthrop Ave Lawrence MA 01843-3716 | |
(978) 725-6525 | |
(978) 725-6550 |
Full Name | Lawrence Smiles Youth Dentistry, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 73c Winthrop Ave, Lawrence, Massachusetts |
Authorized Official Name and Position | Jenell Stump (MANAGER) |
Authorized Official Contact | 6157500343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawrence Smiles Youth Dentistry, Llc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Lawrence Smiles Youth Dentistry, Llc 73c Winthrop Ave Lawrence MA 01843-3716 Ph: (978) 725-6525 |
NPI Number | 1407903750 |
---|---|
Provider Enumeration Date | 01/05/2007 |
Last Update Date | 07/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407903750 | NPI | - | NPPES |
110069905A | Medicaid | MA | |
3079920 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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