NPI 1679031538 · live from the CMS NPI Registry
Johana Ivelisse Cortes-Mercado, DMD, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Lawrence, MA. National Provider Identifier 1679031538, active.
NPI record
| NPI | 1679031538 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 355 Essex St, Lawrence, MA 01840 |
| Practice phone | 978-794-0000 |
| Enumerated | March 8, 2019 |
| Last updated | August 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN10000029 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.