Healthcare Provider Details

I. General information

NPI: 1548125644
Provider Name (Legal Business Name): ISAYEV DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 CHELMSFORD ST STE 9
LOWELL MA
01851-5149
US

IV. Provider business mailing address

375 ACORN PARK DR APT 3401
BELMONT MA
02478-1444
US

V. Phone/Fax

Practice location:
  • Phone: 781-267-8284
  • Fax:
Mailing address:
  • Phone: 781-267-8284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ZHALA ISAYEVA
Title or Position: DENTIST
Credential: DMD
Phone: 781-267-8284