Mount Vernon Dental Solutions

LBN: Mikhail Gomer Dmd Pc
Mount Vernon Dental Solutions is an health care organization with primary practice located at 525 South Broadway , Lawrence MA 01843-2837. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mikhail Gomer Dmd Pc can be contacted via phone (978) 682-0641, or through Gomer, Mikhail via phone (978) 682-0641.

Contact Information

Primary practice address
525 South Broadway Lawrence MA 01843-2837
Phone: (978) 682-0641
Fax: (978) 682-0644
Website:
Map and Directions
Authorized official contact:
Name: Gomer, Mikhail Doctor of Dental Medicine (DMD)
Phone: (978) 682-0641

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21083 Massachusetts

Profile Details

NPI number 1639207475
LBN Legal business name Mikhail Gomer Dmd Pc
DBA Doing business as Mount Vernon Dental Solutions
Authorized official Gomer, Mikhail Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 24th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639207475 NPPES
Massachusetts MEDICAID 9747401

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