Mikhail Gomer Dmd PC
Mikhail Gomer Dmd PC is a healthcare organization registered as General Practice Dentistry in Lawrence, MA, holding Type 2 (organization) NPI 1639207475 since 2007. The authorized official on file is Mikhail Gomer, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639207475 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mikhail Gomer Dmd PC |
| Other name | <Unavail> |
| Practice address | 525 SOUTH BROADWAY, Lawrence, MA, 01843 |
| Phone | 9786820641 |
| Fax | 9786820644 |
| Enumeration date | 2007-03-01 |
| Last updated in NPPES | 2015-07-24 |
Authorized official
| Name | Mikhail Gomer |
|---|---|
| Title | Owner |
| Phone | 9786820641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 21083 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9747401 | Medicaid | MA | — |
Copy-ready billing details
Provider: Mikhail Gomer Dmd PC NPI: 1639207475 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 525 SOUTH BROADWAY, Lawrence, MA, 01843
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649289802 | Mikhail Gomer | Individual | General Practice Dentistry | Lawrence, MA |
Verify this record
Cross-check NPI 1639207475 against the authoritative CMS record: view Mikhail Gomer Dmd PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mikhail Gomer Dmd PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-07-24.