Revalex PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REVALEX PLLC

Doing business as

Leominster Dental Wellness

Practice address

28 Washington St
Leominster, MA 01453-3126

Phone

(781) 405-1879

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Andrea Lucero, DDSNPI 1457889685

Title

General Dentist

Phone

(781) 405-1879

Specialties & licenses 1

Addresses

Other names 1

• Leominster Dental Wellness Doing business as

Locations

Practitioners 2

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

• Jacqueline Andrea Lucero, DDS

  • General Practice Dentistry
  • Groton, MA
  • NPI 1457889685
  NPD Authorized official
• Allan Robert Gemme, D.M.D.

  • General Practice Dentistry
  • Leominster, MA
  • NPI 1780789040
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1891388633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 LYMAN RD",
            "city": "BERLIN",
            "state": "MA",
            "postal_code": "015031804",
            "telephone_number": "781-405-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WASHINGTON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533126",
            "telephone_number": "781-405-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVALEX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "781-405-1879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leominster Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Elizabeth Redinger, LICSW
• Regional Home Care Inc.
• Regional Home Care Inc. (Tolman Cardiac Services)
• Rehabilitative Resources, Inc.
• Patricia Anne Reills, MS IN ED/MS IN PS
• Milagros Elizabeth Reyes, DMD
• Kristen Jane Reynolds, LICSW
• Ramteen Rezai, M.D.
• Danielle R. Riach, LCSW
• Kay R. Ricciotti, O.D.

• General Practice Dentistry in Leominster, MA
• Providers in Leominster, 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 12, 2021; 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.