Organization
LYONS DENTAL ASSOCIATES, D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN P. LYONS D.M.D. (OWNER)
(978) 667-5807
Entity
Organization
Contact information
Practice address
572 BOSTON RD, SUITE ONE, BILLERICA, MA 01821-3776
(978) 667-5807
(978) 667-8260
Mailing address
572 BOSTON RD, SUITE ONE, BILLERICA, MA 01821-3776
(978) 667-5807
(978) 667-8260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18832
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255437851
ENDODONTIST
MA
01
—
1871508259
PERIODONTIST
MA
01
—
1952437832
GENERAL
MA
Enumeration date
04/23/2007
Last updated
08/22/2020
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