1437582657 NPI number — METROPOLITAN ORTHODONTICS, PC

Table of content: (NPI 1437582657)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437582657 NPI number — METROPOLITAN ORTHODONTICS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METROPOLITAN ORTHODONTICS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOWELL BRACES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437582657
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 BRIDGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOWELL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01852-1220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-505-5040
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 NOUVELLE WAY
Provider Second Line Business Practice Location Address:
C/O SAM ALKHOURY N349
Provider Business Practice Location Address City Name:
NATICK
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01760-1571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-505-5040
Provider Business Practice Location Address Fax Number:
508-306-4333
Provider Enumeration Date:
08/12/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALKHOURY
Authorized Official First Name:
HOUSSAM
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
508-505-5040

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  DN20511 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223X0400X , with the licence number: DN20511 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)