MERRIMACK DENTAL GROUP (NPI# 1861879611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861879611 |
| Entity Type | Organization |
| Organization Name | MERRIMACK DENTAL GROUP |
| Practice Address |
21 George St #g5 Lowell MA 01852-2228 |
| Practice Telephone | 5089268660 |
| Practice Fax Number | 5089268667 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | JOHN MILLER (PRESIDENT) |
| Authorized Official Telephone | 5089268660 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MERRIMACK DENTAL GROUP, P.C. | 235 South Street, Berlin, MA 01503 |
| Street Address |
21 GEORGE ST #G5 |
| 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 |
| 1184051153 | The Braces Place of Lawrence | Dentist | 21 George St, Lowell, MA 01852-2228 | 2013-10-04 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664537 | Davis Square Dental Specialists LLC | Dentist | 710 Chelmsford St, Lowell, MA 01851-5101 | 2019-11-20 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| 1104175702 | Lowell Dentistry, P.C. | Dentist | 195 Deanna Dr., Lowell, IN 46341-2402 | 2012-08-29 |
| 1992093868 | Shriji Smiles, Inc. | Dentist | 1245 Pawtucket Blvd, #5, Lowell, MA 01854-1927 | 2011-07-13 |
| 1205128105 | Thomas F Lucas | Dentist | 222 Stackpole St, #13, Lowell, MA 01852-1328 | 2011-05-10 |
| 1700029824 | Maryam Mandsaurwala | Dentist | 1201 Bridge St, Lowell, MA 01850-1293 | 2009-04-20 |
| 1497920573 | Keenan R. Decker D.m.d. | Dentist | 1815 Billie Acres Pl, Lowell, AR 72745-8641 | 2008-04-29 |
| 1992976112 | Dental Dreams, LLC | Dentist | 26 Wood St, Lowell, MA 01851-1519 | 2008-03-15 |
| 1588790067 | Lowell Family Dental Practice PC | Dentist | 133 Market Street, Lowell, MA 01852-1808 | 2007-02-26 |
| Find all providers in LOWELL | ||||
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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.