THE BRACES PLACE OF LAWRENCE (NPI# 1184051153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184051153 |
| Entity Type | Organization |
| Organization Name | THE BRACES PLACE OF LAWRENCE |
| Other Organization Name | THE BRACES PLACE OF LOWELL |
| Practice Address |
21 George St Lowell MA 01852-2228 |
| Mailing Address |
30 College Ave Somerville MA 02144-1914 |
| Practice Telephone | 9784540774 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | DR. MOUHAB RIZKALLAH (OWNER) |
| Authorized Official Telephone | 6175919999 |
| Authorized Official Credential | DDS MSD PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20416 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| The Braces Place of Lowell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780188508 | The Braces Place of Lawrence | Dentist | 441 Chatham St, Lynn, MA 01902-2139 | 2018-03-19 |
| 1760863468 | The Braces Place of Lawrence | Dentist | 509 Concord St, Framingham, MA 01702-2319 | 2015-06-18 |
| Street Address |
21 GEORGE ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922045038 | Vasumathi Keith Brown | Counselor | 21 George St, Suite #1, Lowell, MA 01852-2228 | 2006-05-31 |
| 1528514593 | Kayla Deshong | Physician Assistant | 21 George St, Lowell, MA 01852-2228 | 2016-08-30 |
| 1376997734 | Raghav Sai Dental | Dentist | 21 George St, 201, Lowell, MA 01852-2228 | 2016-04-21 |
| 1982082723 | Hkd Outreach PC | Clinic/Center | 21 George St, Lowell, MA 01852-2228 | 2015-05-13 |
| 1861879611 | Merrimack Dental Group | Dentist | 21 George St, #g5, Lowell, MA 01852-2228 | 2015-04-30 |
| 1811331887 | Ashley Olejarz | Counselor | 21 George St, Lowell, MA 01852-2228 | 2013-04-22 |
| 1033476338 | Hkd Treatment Options PC | Social Worker | 21 George St, First Floor, Lowell, MA 01852 | 2012-04-12 |
| 1205085636 | Doronit Shlank-bloomenthal | Social Worker | 21 George St, First Floor, Lowell, MA 01852-2228 | 2008-09-10 |
| 1811163413 | Mehrnaz Maghsoudloo | Dentist | 21 George St, Suite G04, Lowell, MA 01852-2228 | 2008-05-02 |
| 1639341480 | John P. Burke, D.m.d.,p.c. | Dentist | 21 George St, 2nd Floor, Lowell, MA 01852-2228 | 2008-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609983626 | Amitabha Lala | Dentist | 517 Rogers St, Lowell, MA 01852 | 2006-08-24 |
| 1518269877 | Grand River Orthodontics, PC | Dentist | 1335 W Main St, Suite D, Lowell, MI 49331-1555 | 2010-11-18 |
| 1639341480 | John P. Burke, D.m.d.,p.c. | Dentist | 21 George St, 2nd Floor, Lowell, MA 01852-2228 | 2008-04-01 |
| 1881875912 | John Lee Lindgren | Dentist | 517 Rogers St, Lowell, MA 01852-3826 | 2007-11-16 |
| 1306058110 | Amitabha Lala Dds Ph.d | Dentist | 517 Rogers St, Lowell, MA 01852-3826 | 2007-05-04 |
| 1578632923 | Heather Gietzen | Dentist | 1335 W Main St, Suite D, Lowell, MI 49331-1555 | 2006-11-07 |
| 1861575268 | Kenneth Drizen | Dentist | 75 Arcand Dr, Lowell, MA 01852-1026 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.