Provider Demographics
NPI:1730688599
Name:MICHAEL S. SZAREK DMD,MS,LLC
Entity type:Organization
Organization Name:MICHAEL S. SZAREK DMD,MS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAREK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-454-9932
Mailing Address - Street 1:75 ARCAND DR
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1026
Mailing Address - Country:US
Mailing Address - Phone:978-454-9332
Mailing Address - Fax:978-454-7041
Practice Address - Street 1:75 ARCAND DR
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1026
Practice Address - Country:US
Practice Address - Phone:978-454-9332
Practice Address - Fax:978-454-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18766261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental