Provider Demographics
NPI:1154110849
Name:LYNN FAMILY DENTAL AND ORTHODONTICS PC
Entity type:Organization
Organization Name:LYNN FAMILY DENTAL AND ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEETU
Authorized Official - Middle Name:
Authorized Official - Last Name:BANSAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-275-6306
Mailing Address - Street 1:234 COPELAND ST STE 330
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4082
Mailing Address - Country:US
Mailing Address - Phone:617-401-8298
Mailing Address - Fax:
Practice Address - Street 1:234 COPELAND ST STE 330
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4082
Practice Address - Country:US
Practice Address - Phone:617-401-8298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental