Individual
DR. CHRISTOS J BACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
33 BARTLETT ST, LOWELL, MA 01852-1334
(978) 454-7254
(978) 458-5467
Mailing address
33 BARTLETT ST, LOWELL, MA 01852-1334
(978) 454-7254
(978) 458-5467
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9650
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009650
TUFTS HEALTH PLAN
MA
05
—
0261343
—
MA
01
—
16168
HARVARD PILGRIM
MA
01
—
X02896
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
02/02/2007
Last updated
07/08/2007
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