Lynnfield Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LYNNFIELD PEDIATRIC DENTISTRY, LLC

Practice address

6 Kimball LN Ste 140
Lynnfield, MA 01940-2667

Phone

(617) 895-6700

NPI assigned

Aug 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hubert J Park, DMD, MPHNPI 1790077857

Title

President

Phone

(617) 895-6700

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hubert J Park, DMD, MPH

  • Pediatric Dentistry
  • Cambridge, MA
  • NPI 1790077857
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1073241469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONTAGUE ST UNIT C",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393721",
            "telephone_number": "617-895-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KIMBALL LN STE 140",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402667",
            "telephone_number": "617-895-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNFIELD PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-895-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Love, OTR
• Reina Lovelace
• Jordan Marie Lupo
• Nicole Lynch-Emery
• Lynnfield Dental Care PLLC
• Lynnfield Pediatrics
• Lynnfield Pediatrics, LLC
• Lynnfield Psychological Associates, PC
• Lynnfield Public Schools
• Lynnwood Family Dental

• Pediatric Dentistry in Lynnfield, MA
• Providers in Lynnfield, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.