Edward T Lahey III
Oral & Maxillofacial Surgeon
77 S Bedford St Ste 100
Burlington
, Massachusetts 01803-5154
Edward T Lahey III
Oral & Maxillofacial Surgeon
77 S Bedford St Ste 100
Burlington
, Massachusetts 01803-5154
(781) 272-0800
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Edward T Lahey III
- 77 S Bedford St Ste 100
- Burlington, MA
- Zip : 01803-5154
- Phone : (781) 272-0800
Second Address
- Edward T Lahey III
- 77 S Bedford St Ste 100
- Burlington, MA
- Zip : 01803-5154
- Phone : (781) 272-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 230038 | MA |
National Provider Identifier
| NPI | 1265447965 |
|---|---|
| Provider Name | Edward T Lahey III |
| First Address | Burlington, MA 01803-5154 |
| Second Address | Burlington, MA 01803-5154 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 10/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| X09477 | BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.