Organization Active NPI

Dental Aesthetics of Lawrence PLLC

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1407607419
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL AESTHETICS OF LAWRENCE PLLC
Practice address
606 Andover St
Lawrence, MA 01843-1027
Phone
(347) 751-2929
Fax
(978) 685-4028
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Vandna Sudeep Chawla, DMDNPI 1205478823
Title
Owner/Dentist
Phone
(347) 751-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

606 Andover St
Lawrence, MA 01843-1027

Mailing address

606 Andover St
Lawrence, MA 01843-1027
Phone (347) 751-2929

National Provider Directory

National Provider Directory

Locations

606 Andover St
Lawrence, MA 01843
Phone (347) 751-2929

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1407607419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ANDOVER ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431027",
            "telephone_number": "347-751-2929",
            "fax_number": "978-685-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ANDOVER ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431027",
            "telephone_number": "347-751-2929",
            "fax_number": "978-685-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AESTHETICS OF LAWRENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "VANDNA",
        "authorized_official_middle_name": "SUDEEP",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "347-751-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • 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.