Lit Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIT DENTAL, P.C.

Doing business as

Lit Dental Esthetics & Implant Center

Practice address

109 Andrew Ave Ste 202
Wayland, MA 01778-3157

Phone

(508) 358-2122

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Miguel Ortiz, DMD

Title

Owner/Prosthodontist

Phone

(626) 315-2028

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 2

• Lit Dental Esthetics & Implant Center Doing business as
• Courtney Lavigne Dentistry Other name

Practitioners 1

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

• Alexandra Holloway Urbana, DMD

  • General Practice Dentistry
  • Avon, CO
  • NPI 1659875862
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1265064588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE STE 202",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783157",
            "telephone_number": "508-358-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANDREW AVE STE 202",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783157",
            "telephone_number": "508-358-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIT DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER/PROSTHODONTIST",
        "authorized_official_telephone_number": "626-315-2028",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DN1857495",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lit Dental Esthetics & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courtney Lavigne Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Michael Lemiszki, M.A., PSY.D.
• Amanda Jean Leone, DPT
• Rebecca J Leong, M.D.
• Beth Goldman Leven, R.P.T.
• Mimi Sohn Licht, LICSW, BCD
• Livindi Medical Group Illinois PLLC
• Russell L Livingston, MD
• Longfellow Holistic Health Center
• Neena Lukose, RPH
• Gail Elizabeth Lydon, RN MS CS

• General Practice Dentistry in Wayland, MA
• Providers in Wayland, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.