Organization
CHELSEA ORTHODONTICS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GORDON LEPINGWELL JR. DMD (ORTHODONTIST)
(617) 889-1990
Entity
Organization
Contact information
Practice address
131 ARLINGTON ST, CHELSEA, MA 02150-2310
(617) 889-1990
Mailing address
131 ARLINGTON ST, CHELSEA, MA 02150-2310
(617) 889-1990
(617) 889-1991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280429
—
MA
01
—
X07667
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/20/2008
Last updated
12/11/2008
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