MICHAEL B KOIDIN (NPI# 1801871314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801871314 |
| Entity Type | Individual |
| Full Name | MICHAEL B KOIDIN |
| Credential | D.D.S., M.SC.D. |
| Practice Address |
77 Broad St Lynn MA 01902-5003 |
| Mailing Address |
Po Box 233 Swampscott MA 01907-0333 |
| Practice Telephone | 7815992900 |
| Practice Fax Number | 7815981670 |
| Mailing Telephone | 7815992900 |
| Mailing Fax Number | 7815981670 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12700 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0251771 | 05 |
| Street Address |
77 BROAD ST |
| City | LYNN |
| State | MA |
| Zip Code | 01902-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184609695 | Steven P Perlman | Dentist | 77 Broad St, Lynn, MA 01902-5003 | 2005-12-08 |
| 1619404852 | Lynn Pediatric Dentistry and Orthodontics, LLC | Dentist | 77 Broad St, Lynn, MA 01902-5003 | 2017-05-18 |
| 1538144043 | Drs. Perlman & Koidin, P.C. | Dentist | 77 Broad St, Lynn, MA 01902-5003 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291130 | Top Care Physical Therapy Rehab | Clinic/Center | 373 Chatham St # 2, Lynn, MA 01902 | 2018-07-12 |
| 1407343726 | Patricia De Leon | Developmental Therapist | 176 Franklin St., Lynn, MA 01902 | 2018-04-23 |
| 1578076725 | Janice S. Baltoumas | Dietitian, Registered | Element Care Inc., 37 Friend Street, Lynn, MA 01902 | 2017-11-09 |
| 1396263174 | Jayna Kathryn Doherty-kinloch | Social Worker | 31 Clark Street, Lynn, MA 01902 | 2017-08-31 |
| 1891219416 | Omobolanle O. Akinyemi | Licensed Practical Nurse | 9 Buffum St, Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1003330523 | Jessica Lee Crowley | Registered Nurse | 9 Buffum St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1689198228 | Shannon Gomatos | Registered Nurse | 20 School St., Lynn, MA 01902 | 2017-07-26 |
| 1578087193 | Josephine P. Cooke | Registered Nurse | 62 Market St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1316471568 | Ujunwa Okwukaogu | Registered Nurse | 118 Franklin Street #3, Lynn, MA 01902 | 2017-04-14 |
| 1033655501 | Francis Howard Crowley | Social Worker | 37 Friend Street, Element Care, Lynn, MA 01902 | 2017-01-09 |
| Find all providers in zip 01902 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780188508 | The Braces Place of Lawrence | Dentist | 441 Chatham St, Lynn, MA 01902-2139 | 2018-03-19 |
| 1619404852 | Lynn Pediatric Dentistry and Orthodontics, LLC | Dentist | 77 Broad St, Lynn, MA 01902-5003 | 2017-05-18 |
| 1427354133 | Amal Kharbouch | Dentist | 319 Lynnway, Lynn, MA 01901-1811 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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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.