Lowell Family Dental Practice PC
Dentist, General Practice in Lowell, Massachusetts
1588790067- Practice location
- 133 Market Street, Lowell, MA 01852-1808
- Phone
- 978-458-1179
- Fax
- 978-805-1415
- Last updated
- August 22, 2020
Lowell Family Dental Practice PC is a healthcare organization based in Lowell, MA. Lowell Family Dental Practice PC practices in Lowell, MA. The NPI Number for Lowell Family Dental Practice PC is 1588790067 and holds a License No. 21536 (MA). The current practice location address for Lowell Family Dental Practice PC is 133 Market Street, Lowell, MA 01852-1808 and can be reached out via phone at 978-458-1179 and via fax at 978-805-1415.
Provider Profile Details
- NPI Number
- 1588790067
- Provider Name
- Lowell Family Dental Practice PC
- Provider Entity Type
- Organization
- Address
- 133 Market Street, Lowell, MA 01852-1808
- Phone Number
- 978-458-1179
- Fax Number
- 978-805-1415
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Konstantin V Amirzadov, DMD · President · 978-458-1179
- Provider Enumeration Date
- February 26, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Market Street
Lowell, MA 01852-1808 - City
- Lowell
- State
- Massachusetts
- Zip
- 01852-1808
- Phone Number
- 978-458-1179
- Fax Number
- 978-805-1415
Provider Business Mailing Address Details
- Address
- 133 Market Street
Lowell, MA 01852-1808 - City
- Lowell
- State
- MA
- Zip
- 01852-1808
- Phone Number
- 978-458-1179
- Fax Number
- 978-805-1415
License Information
- License Number (1)
- 21536
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 21444
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License Number (3)
- 18197
- License State (3)
- MA
- Taxonomy (3)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Lowell, MA
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Frequently Asked Questions
What is the NPI number of Lowell Family Dental Practice PC?
The NPI number of Lowell Family Dental Practice PC is 1588790067. It was assigned on February 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Lowell Family Dental Practice PC?
Lowell Family Dental Practice PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21536.
Where does Lowell Family Dental Practice PC practice?
The practice location is 133 Market Street, Lowell, MA 01852-1808. The office can be reached at 978-458-1179 (phone) or 978-805-1415 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588790067 directly on the NPPES registry website.