FLAGSHIP SMILE, LLC (NPI# 1841725512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841725512 |
| Entity Type | Organization |
| Organization Name | FLAGSHIP SMILE, LLC |
| Practice Address |
79 Lynnfield St Peabody MA 01960-5201 |
| Practice Telephone | 7814005920 |
| Mailing Telephone | 7814005920 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | DMITRY BURSHTEYN (CEO) |
| Authorized Official Telephone | 7814005920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
79 LYNNFIELD ST |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013016310 | Cvs Pharmacy Inc | Pharmacy | 79 Lynnfield St, Peabody, MA 01960-5201 | 2006-09-22 |
| 1710267794 | Mayank Pahwa | Dentist | 79 Lynnfield St, Perfect Dental, Peabody, MA 01960-5201 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013376003 | Juliana Ginsberg | Dentist | 1 Roosevelt Ave Ste 2d, Peabody, MA 01960-2227 | 2016-02-18 |
| 1518135854 | Alan Roy Zicherman | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2008-02-20 |
| 1033326087 | Federico Fabian Lago | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
| 1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
| 1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
| 1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
| 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.