Organization Active NPI

Olex Dental, P.C.

  • General Practice Dentistry
  • Plymouth, MA
National Provider Identifier
1225209356
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20688 Issued in MA
Legal business name
OLEX DENTAL, P.C.
Practice address
306 Court St
Plymouth, MA 02360-4339
Phone
(508) 746-1144
Fax
(508) 746-9800
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Olexander Lyaskivntsky, DMD
Title
President
Phone
(508) 746-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20688 MA Primary

Addresses

Primary practice location

306 Court St
Plymouth, MA 02360-4339

Mailing address

306 Court St
Plymouth, MA 02360-4339
Phone (508) 746-1144

National Provider Directory

National Provider Directory

Locations

306 Court St
Plymouth, MA 02360
Phone (508) 746-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1225209356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604339",
            "telephone_number": "508-746-1144",
            "fax_number": "508-746-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604339",
            "telephone_number": "508-746-1144",
            "fax_number": "508-746-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEX DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "LYASKIVNTSKY",
        "authorized_official_first_name": "OLEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.