Provider Demographics
NPI:1902457765
Name:LEX SMILES PC
Entity Type:Organization
Organization Name:LEX SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SATHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBICHETTYPALAYAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-980-4734
Mailing Address - Street 1:27 MUZZEY ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5226
Mailing Address - Country:US
Mailing Address - Phone:781-862-1767
Mailing Address - Fax:781-860-9841
Practice Address - Street 1:27 MUZZEY ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5226
Practice Address - Country:US
Practice Address - Phone:781-698-7136
Practice Address - Fax:781-860-9841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty