Organization
ADIB I LAKIS P.C.
Active
Other names
The Canton Dental Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADIB IBRAHIM LAKIS DMD (OWNER)
(781) 821-2120
Entity
Organization
Contact information
Practice address
95 WASHINGTON STREET, SUITE 472, CANTON, MA 02021
(781) 821-2120
(781) 821-2433
Mailing address
95 WASHINGTON STREET, SUITE 472, CANTON, MA 02021
(781) 821-2120
(781) 821-2433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17556
MA
1223G0001X
General Practice Dentistry
18294
MA
1223G0001X
General Practice Dentistry
18362
MA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
18488
MA
1223P0300X
Periodontics
18502
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19134
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380796
HPHC
MA
01
—
X10837
BLUE CROSS OF MASS
MA
Enumeration date
01/12/2007
Last updated
09/11/2025
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