Lexington Periodontics & Implantology, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10905 Issued in MA

Legal business name

LEXINGTON PERIODONTICS & IMPLANTOLOGY, LLC

Practice address

33 Bedford St
Suite 15
Lexington, MA 02420-4319

Phone

(781) 861-7777

Fax

(781) 861-0141

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Gina Gallant

Title

Office Manager

Phone

(978) 263-1313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephen H Grossman, DMD

  • Periodontics
  • Acton, MA
  • NPI 1114930559
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1144346644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319",
            "telephone_number": "781-861-7777",
            "fax_number": "781-861-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST",
            "address_2": "SUITE 15",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204319",
            "telephone_number": "781-861-7777",
            "fax_number": "781-861-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Great Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017205647",
            "country_code": "US",
            "telephone_number": "978-263-1313",
            "fax_number": "978-264-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEXINGTON PERIODONTICS & IMPLANTOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "GALLANT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-263-1313"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "10905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington Nutrition Services
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• Lexington Pediatrics, LLC
• Lexington Pediatrics, LLC
• Lexington Pediatrics, P.C.
• Lexington Physical Therapy Associates Inc
• Lexington Prosthodontics
• Lexington Psychiatric & Couseling Assoc.
• Lexington Psychiatry LLC
• Lexington Smile LM, LLC

• Periodontics in Lexington, MA
• Providers in Lexington, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.