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LOWELL FAMILY DENTAL PRACTICE PC
NPI 1588790067
Dentist - General Practice in Lowell, MA

Active since February 26, 2007
133 MARKET STREET, LOWELL, MA 01852(978) 458-1179(978) 805-1415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lowell Family Dental Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOWELL FAMILY DENTAL PRACTICE PC (NPI 1588790067) is a healthcare organization registered as a general practice in Lowell, Massachusetts and active in the NPI registry since February 2007. The organization lists Konstantin V Amirzadov, President, as its authorized official.

NPPES Registry Identity

NPI1588790067
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLOWELL FAMILY DENTAL PRACTICE PC
Location Address133 MARKET STREETLowell, MA 01852-1808
Mailing Address133 Market StreetLowell, MA 01852-1808 · (978) 458-1179 · Fax (978) 805-1415
Phone(978) 458-1179
Fax(978) 805-1415
Organization SubpartNo
Authorized OfficialKonstantin V AmirzadovPresident · (978) 458-1179
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588790067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MA · 18197✔ Licensed in MA · 21536✔ Licensed in MA · 21444
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
133 MARKET STREET, Lowell, MA 01852
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Other Identifiers 2

OtherX11619MA · Blue Cross Blue Shield
Medicaid9727230MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KONSTANTIN V AMIRZADOV DMD
Dentist (General Practice)
133 MARKET STREET
LOWELL, MA 01852
Middlesex County (978) 458-1179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lowell Family Dental Practice PC's NPI number?

The NPI number for Lowell Family Dental Practice PC is 1588790067. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Lowell Family Dental Practice PC located?

Lowell Family Dental Practice PC is located at 133 Market Street, Lowell, MA 01852. The listed phone number is (978) 458-1179.

What is Lowell Family Dental Practice PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lowell Family Dental Practice PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.