Active NPIIndividual provider

Konstantin V Amirzadov, DMD

Dentist, General Practice in Lowell, Massachusetts

NPI Number1598891020
Practice location
133 Market Street, Lowell, MA 01852
Fax
978-805-1415
Last updated
July 8, 2007

Konstantin V Amirzadov is a Dentist, General Practice based in Lowell, MA. Konstantin V Amirzadov practices in Lowell, MA and has the professional credentials of DMD. The NPI Number for Konstantin V Amirzadov is 1598891020 and holds a License No. 18197 (MA). The current practice location address for Konstantin V Amirzadov is 133 Market Street, Lowell, MA 01852 and can be reached out via phone at 978-458-1179 and via fax at 978-805-1415.

Provider Profile Details

NPI Number
1598891020
Provider Name
Konstantin V Amirzadov
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
133 Market Street, Lowell, MA 01852
Phone Number
978-458-1179
Fax Number
978-805-1415
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Market Street
Lowell, MA 01852
City
Lowell
Zip
01852
Phone Number
978-458-1179
Fax Number
978-805-1415
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
133 Market Street
Lowell, MA 01852
City
Lowell
State
MA
Zip
01852
Phone Number
978-458-1179
Fax Number
978-805-1415

License Information

License Number
18197
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Konstantin V Amirzadov, DMD?

The NPI number of Konstantin V Amirzadov, DMD is 1598891020. It was assigned on February 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Konstantin V Amirzadov, DMD?

Konstantin V Amirzadov, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18197.

Where does Konstantin V Amirzadov, DMD practice?

The practice location is 133 Market Street, Lowell, MA 01852. 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 1598891020 directly on the NPPES registry website.

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