Active NPI
Avetisyan DMD PC
Doing business as United Dental
- General Practice Dentistry
- Lowell, MA
National Provider Identifier
1699230854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AVETISYAN DMD PC
- Doing business as
- United Dental
- Practice address
- 131 Merrimack St
Lowell, MA 01852-1723 - Phone
- (616) 780-4642
- NPI assigned
- Feb 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tigran Avetisyan, DMD
- Title
- President
- Phone
- (616) 780-4642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
131 Merrimack St
Lowell, MA 01852-1723
Mailing address
428 Lowell St
Lexington, MA 02420-2234
Phone (616) 780-4642
Other names 1
- United Dental
National Provider Directory
National Provider DirectoryLocations
131 Merrimack St
Lowell, MA 01852
Phone (508) 743-7888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lowell, MA
- NPI 1497266852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1699230854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 LOWELL ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024202234",
"telephone_number": "616-780-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521723",
"telephone_number": "616-780-4642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVETISYAN DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-01",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "AVETISYAN",
"authorized_official_first_name": "TIGRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-780-4642",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.