Individual
LORI JURGENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6 ESSEX CENTER DR, STE 112A, PEABODY, MA 01960-2905
(787) 268-1996
(787) 728-6759
Mailing address
6 ESSEX CENTER DR, STE 112A, PEABODY, MA 01960-2905
(787) 728-8052
(787) 268-3579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019020324
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1768
PR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856442
MA
Other
Enumeration date
08/01/2005
Last updated
05/02/2019
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