Provider Demographics
NPI:1457400038
Name:LILIA S. FIAT, D.M.D., LLC
Entity Type:Organization
Organization Name:LILIA S. FIAT, D.M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FIAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-762-4455
Mailing Address - Street 1:435 NEWBURY ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1065
Mailing Address - Country:US
Mailing Address - Phone:978-762-4455
Mailing Address - Fax:978-762-4466
Practice Address - Street 1:435 NEWBURY ST
Practice Address - Street 2:SUITE 219
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1065
Practice Address - Country:US
Practice Address - Phone:978-762-4455
Practice Address - Fax:978-762-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA176151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty