Excel Dental of Lynn LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCEL DENTAL OF LYNN LLC

Practice address

738-744 Western Avenue
Lynn, MA 01905

Phone

(617) 294-2600

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chitrang B Patel

Title

Owner

Phone

(781) 241-2221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1578293841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GIANNA DR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061987",
            "telephone_number": "781-241-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738-744 WESTERN AVENUE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01905",
            "telephone_number": "617-294-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL OF LYNN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHITRANG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-241-2221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lynn, MA
• Providers in Lynn, 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 Jun 10, 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.