MR. MAURICE GEORGE THEBERGE (NPI# 1538360342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538360342 |
| Entity Type | Individual |
| Full Name | MR. MAURICE GEORGE THEBERGE |
| Credential | DDS |
| Practice Address |
50 Prospect Street Suite 402 Lawrence MA 01841 |
| Mailing Address |
1 Berkley Ave Haverhill MA 01830 |
| Practice Telephone | 9786860421 |
| Practice Fax Number | 9786868246 |
| Mailing Telephone | 9783744062 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9437 | MA | Dental Providers |
| Street Address |
50 PROSPECT STREET SUITE 402 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1376038414 | Maggie Townsend | Physical Therapist | 172 Lawrence Street, Lawrence, MA 01841 | 2018-06-29 |
| 1265941678 | Melvinson Polanco | Psychologist | 170 Sanborn St, Lawrence, MA 01841 | 2017-09-28 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1619419652 | Helen Santos | Social Worker | 5 Colby St, Lawrence, MA 01841 | 2016-11-08 |
| 1740737329 | James Michael Torres | Social Worker | 439 S. Union Street, Larwrence, MA 01841 | 2016-09-01 |
| 1588010003 | Michael Castillo | Counselor | 274 East Haverhill St, Lawrence, MA 01841 | 2016-05-13 |
| 1619379351 | Marlene Reyes | Psychologist | 27 Clarke St, Lawrence, MA 01841 | 2014-09-25 |
| 1982016762 | Erica Vasquez | Counselor | 590 Canal Street, Lawrence, MA 01841 | 2014-05-28 |
| 1538500202 | Azadeh Suppappola | Optometrist | 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | 2013-07-10 |
| Find all providers in zip 01841 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649543554 | The Braces Place | Dentist | 335 Common St, Lawrence, MA 01840-1262 | 2012-02-23 |
| 1427268036 | Don Gordy Dds Pa | Dentist | 721 Wakarusa Drive, Ste 102, Lawrence, KS 66049-4797 | 2007-05-23 |
| 1336252139 | N. Daniel Ranjbar | Dentist | 4828 Quail Crest Pl, Lawrence, KS 66049-3838 | 2006-08-16 |
| 1073593992 | Shelly L. Mccolm | Dentist | 12 W 8th St, Lawrence, KS 66044-2602 | 2006-01-18 |
| 1760025480 | Shira Bernstein | Dentist | 122 Harrison St, Lawrence, NY 11559-1932 | 2019-10-25 |
| 1184075038 | Merrimack Valley Orthodontics LLC | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2016-06-22 |
| 1407221377 | Ana Serrenho | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2015-12-03 |
| 1578939351 | Jie Liu | Dentist | 234 Essex St, Lawrence, MA 01840-1549 | 2015-08-17 |
| 1235542903 | Audra Buckley Reynoso | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2014-06-10 |
| 1922303668 | Lawrence Braces, P.C. | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2011-01-11 |
| Find all providers in LAWRENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.