The Canton Dental Collaborative is a Dental Clinic in Canton, Massachusetts. It is located at 95 Washington Street, Suite 472, Canton, MA and its contact number is 781-821-2120. The authorized person for The Canton Dental Collaborative is Dr. Adib Ibrahim Lakis
who is Owner of the clinic and their contact number is 781-821-2120. The primary license number for The Canton Dental Collaborative is 19134 (Orthodontics and Dentofacial Orthopedics) in Massachusetts. The Canton Dental Collaborative Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
The Canton Dental Collaborative Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
The Canton Dental Collaborative
Specialization:
General Practice Dentistry
Clinic Address:
95 Washington Street, Suite 472, Canton, Massachusetts, 02021
Phone:
781-821-2120
Fax:
781-821-2433
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Adib Ibrahim Lakis
Position:
Owner
Contact Number:
781-821-2120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Canton Dental Collaborative clinic are as mentioned below.
NPI Number:
1922158732
NPI Enumeration Date:
12 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Canton Dental Collaborative are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
19134
Massachusetts
Primary
General Practice
18362
Massachusetts
Secondary
General Practice
18294
Massachusetts
Secondary
General Practice
17556
Massachusetts
Secondary
Oral and Maxillofacial Pathology
18488
Massachusetts
Secondary
Periodontics
18502
Massachusetts
Secondary
Orthodontics and Dentofacial Orthopedics
19134
Massachusetts
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
X10837
Other
Massachusetts
Blue Cross Of Mass
380796
Other
Massachusetts
Hphc
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Canton Dental Collaborative 95 Washington Street, Suite 472 Canton, Massachusetts
Zip:
02021
Phone Number:
781-821-2120
Fax Number:
781-821-2433
Patients can reach The Canton Dental Collaborative at 95 Washington Street, Suite 472, Canton, Massachusetts or can call to book an appointment on 781-821-2120. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.