| Lowell Oral Surgery Associates, Inc | |
|
33 Bartlett St Suite 405 Lowell MA 01852-1334 | |
| (978) 458-1264 | |
| Not Available |
| Full Name | Lowell Oral Surgery Associates, Inc |
|---|---|
| Speciality | Dentist |
| Location | 33 Bartlett St, Lowell, Massachusetts |
| Authorized Official Name and Position | Jeffrey D Stone (PRESIDENT) |
| Authorized Official Contact | 9784581264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Oral Surgery Associates, Inc 33 Bartlett St Suite 405 Lowell MA 01852-1334 Ph: (978) 458-1264 | Lowell Oral Surgery Associates, Inc 33 Bartlett St Suite 405 Lowell MA 01852-1334 Ph: (978) 458-1264 |
| NPI Number | 1689772477 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 4688743602 |
|---|---|
| Medicare Enrollment ID | O20080516000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689772477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey D Stone |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1053391102 PECOS PAC ID: 5698706711 Enrollment ID: I20050829000070 |
| Provider Name | Sotirios Diamantis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386837797 PECOS PAC ID: 7416137112 Enrollment ID: I20110214000189 |
| Provider Name | Thomas A Trowbridge |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407836927 PECOS PAC ID: 9830112143 Enrollment ID: I20120214000596 |
| Provider Name | Amy D Field |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922088087 PECOS PAC ID: 5496766941 Enrollment ID: I20120215000486 |
| Provider Name | Michael William Courtney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144576240 PECOS PAC ID: 4284866658 Enrollment ID: I20180403001774 |
| Provider Name | Paul R Kalish |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467892513 PECOS PAC ID: 3375816341 Enrollment ID: I20190313001579 |
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