Lowell Family Dental Practice Pc
LBN: Lowell Family Dental Practice Pc
Lowell Family Dental Practice Pc is an health care organization with primary practice located at 133 Market Street , Lowell MA 01852-1808. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Lowell Family Dental Practice Pc can be contacted via phone (978) 458-1179, or through Amirzadov, Konstantin V via phone (978) 458-1179.
Contact Information
Primary practice address
133 Market Street
Lowell MA 01852-1808
Phone: (978) 458-1179
Fax: (978) 805-1415
Website:
Authorized official contact:
Name: Amirzadov, Konstantin V Doctor of Dental Medicine (DMD)
Phone: (978) 458-1179
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18197 | Massachusetts |
| Dental Providers / General Practice | 1223G0001X | 21536 | Massachusetts |
| Dental Providers / General Practice | 1223G0001X | 21444 | Massachusetts |
Profile Details
| NPI number | 1588790067 |
|---|---|
| LBN Legal business name | Lowell Family Dental Practice Pc |
| DBA Doing business as | |
| Authorized official | Amirzadov, Konstantin V Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588790067 | NPPES |
| Massachusetts | MEDICAID | 9727230 | |
| Massachusetts | Other | X11619 |
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