Flagship Smile, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FLAGSHIP SMILE, LLC

Practice address

79 Lynnfield St
Peabody, MA 01960-5201

Phone

(781) 400-5920

NPI assigned

May 1, 2017

Last updated

May 1, 2017By 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

Dmitry Burshteyn

Title

Ceo

Phone

(781) 400-5920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1841725512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605201",
            "telephone_number": "781-400-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 LYNNFIELD ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605201",
            "telephone_number": "781-400-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP SMILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-400-5920"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan D Fish, MED
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• Erycka E Florie, DO
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• Pediatric Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.