Organization
MERRIMACK VALLEY ORAL SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOS BACOS D.M.D (PRESIDENT)
(978) 454-5637
Entity
Organization
Contact information
Practice address
33 BARTLETT ST, LOWELL, MA 01852-1334
(978) 454-5637
(978) 458-5467
Mailing address
33 BARTLETT ST, LOWELL, MA 01852-1334
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702431
TUFTS HEALTH PLAN
MA
05
—
9732322
—
MA
01
—
D215
HARVARD PILGRIM
MA
01
—
X10710
BCBS OF MA
MA
Enumeration date
03/23/2007
Last updated
07/21/2022
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