RODERICK W. LEWIN (NPI# 1639192271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639192271 |
Entity Type | Individual |
Full Name | RODERICK W. LEWIN |
Credential | DMD. |
Practice Address |
326 Nichols Road Fitchburg MA 01420 |
Practice Telephone | 9788788100 |
Practice Fax Number | 9788788326 |
Mailing Telephone | 9788788516 |
Mailing Fax Number | 9788788418 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2015-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8883 | MA | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8888 | MA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BS OF MA | X02562 | 01 |
UGS | 221845 | 01 | |
MA | 1319833 | 05 |
Street Address |
326 NICHOLS ROAD |
City | FITCHBURG |
State | MA |
Zip Code | 01420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447218474 | Kathleen A. Sweeney | Family Medicine | 326 Nichols Road, Fitchburg, MA 01420 | 2006-05-01 |
1043615321 | Chithu Abraham | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2014-10-29 |
1316239239 | Carol Lemay Mccarter | Social Worker | 326 Nichols Road, Fitchburg, MA 01420 | 2011-05-11 |
1689975484 | Kathryn Elizabeth Bettencourt | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-11-10 |
1891011318 | Wade A. Munroe | Psychologist | 326 Nichols Road, Fitchburg, MA 01420 | 2010-04-08 |
1487981684 | Sarita M. Fage | Physician Assistant | 326 Nichols Road, Fitchburg, MA 01420 | 2009-11-09 |
1922230366 | Tina Gupta | Dentist | 326 Nichols Road, Fitchburg, MA 01420-1914 | 2009-08-19 |
1780820829 | Rafael A Yanez | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
1215173356 | Andreza Rosetti Castro | Dentist | 326 Nichols Road, Fitchburg, MA 01420 | 2008-12-19 |
1831345990 | Gleidistoney Jose Deoliveira | Registered Nurse | 326 Nichols Road, Fitchburg, MA 01420 | 2008-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
Find all providers in zip 01420 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891995593 | Alejandro Josue Valladares | Dentist | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2007-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
1700432143 | Middleboro Oral Surgeons, PC | Dentist | 47 Bedford St Unit 3, Middleboro, MA 02346-1047 | 2019-08-12 |
1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
1750844080 | C.m.f.-cranio-maxillofacial Surgery Associates | Dentist | 366 Broadway Ste 100, Somerville, MA 02145-2812 | 2019-04-12 |
1669938130 | Milagros Serrano Dds, PC | Dentist | 1842 Beacon St Ste 303, Brookline, MA 02445-1922 | 2019-02-20 |
1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
1609322452 | Lowell Oral Surgery Associates, Inc | Dentist | 26 North Rd, 2nd Floor, Chelmsford, MA 01824-2722 | 2016-08-31 |
1295189280 | Jonathan Bishop | Dentist | 208 Main St Ste 116, Milford, MA 01757-2502 | 2016-04-16 |
1790149987 | Capeside Oral&facial Surgery, Inc. | Dentist | 362 Gifford St, Falmouth, MA 02540-2912 | 2016-04-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.