Provider Demographics
NPI:1811549926
Name:INSPIRE DENTAL IMPLANT ASSOCIATES PLLC
Entity Type:Organization
Organization Name:INSPIRE DENTAL IMPLANT ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-833-0158
Mailing Address - Street 1:6 WILKENS DR STE 205-206
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-5019
Mailing Address - Country:US
Mailing Address - Phone:508-470-7001
Mailing Address - Fax:
Practice Address - Street 1:6 WILKENS DR STE 205-206
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-5019
Practice Address - Country:US
Practice Address - Phone:508-470-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851698815OtherNPI