Individual
DR. LONNIE H NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
1 KNEELAND ST, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02111-1527
(617) 636-6636
(617) 636-0309
Mailing address
1 KNEELAND ST, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02111-1527
(617) 636-6636
(617) 636-0309
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013332
NEIGHBORHOOD HEALTH
MA
01
—
013391
TUFTS HEALTH
MA
05
—
0264679
—
MA
01
—
100969
DELTA DENTAL
MA
01
—
16186NEMC
HARVARD
MA
01
—
4336614
ATENA
MA
01
—
4651255
CIGNA
MA
Enumeration date
05/09/2007
Last updated
07/09/2007
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