Lahey, Edward T

Lahey, Edward T is an individual health care provider with primary practice located at 1 Kneeland St Fl 5 , Boston MA 02111-1529. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Lahey, Edward T can be contacted via phone (617) 636-6515.

Contact Information

Primary practice address
1 Kneeland St Fl 5 Boston MA 02111-1529
Phone: (617) 636-6515
Fax: (617) 636-6809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN21157 Massachusetts
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 230038 Massachusetts

Profile Details

NPI number 1265447965
LBN Legal business name Lahey, Edward T
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265447965 NPPES
Massachusetts Other X09477 BLUE SHIELD

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