Provider Demographics
NPI:1932428026
Name:LEPINE DENTISTRY, LLC.
Entity Type:Organization
Organization Name:LEPINE DENTISTRY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLAUME
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPINE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-916-8228
Mailing Address - Street 1:20 COMMERCE WAY
Mailing Address - Street 2:UNIT 12, PMB 293
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1010 GAR HWY
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4566
Practice Address - Country:US
Practice Address - Phone:508-916-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN21008261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental