CENTER FOR DENTAL MEDICINE & RECONSTRUCTION
NPI 1083278378
Dentist - Prosthodontics in Lincoln, MA

Active since April 23, 2019
152 LINCOLN RD STE 1, LINCOLN, MA 01773(781) 728-5455 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center For Dental Medicine & Reconstruction NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR DENTAL MEDICINE & RECONSTRUCTION (NPI 1083278378) is a healthcare organization registered as a prosthodontics in Lincoln, Massachusetts and active in the NPI registry since April 2019. The organization lists Quinn Chan, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1083278378
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameCENTER FOR DENTAL MEDICINE & RECONSTRUCTION
Location Address152 LINCOLN RD STE 1Lincoln, MA 01773-3832
Mailing Address32 Traveler St Unit 510Boston, MA 02118-2840 · (617) 851-5463
Organization SubpartNo
Authorized OfficialQuinn ChanOwner/manager · (781) 728-5455
Enumeration DateApril 23, 2019
NPI 1083278378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
152 LINCOLN RD STE 1, Lincoln, MA 01773

Other Identifiers 2

Medicaid1821365479MA
Medicaid1669663886MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Prosthodontics)
152 LINCOLN RD STE 1
LINCOLN, MA 01773
Dentist (Periodontics)
152 LINCOLN RD STE 1
LINCOLN, MA 01773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Dental Medicine & Reconstruction's NPI number?

The NPI number for Center For Dental Medicine & Reconstruction is 1083278378. It was assigned to this organization in the NPPES registry on April 23, 2019.

Where is Center For Dental Medicine & Reconstruction located?

Center For Dental Medicine & Reconstruction is located at 152 Lincoln Rd Ste 1, Lincoln, MA 01773. The listed phone number is (781) 728-5455.

What is Center For Dental Medicine & Reconstruction's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Center For Dental Medicine & Reconstruction was last updated on April 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.