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General NPI Number Information
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NPI Number | 1790602258
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Entity Type | Organization
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Legal Business Name | LOWELL ENDODONTICS PC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 45 PINEWOOD AVE
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City | SUDBURY
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State | MA
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Zip | 01776-1584
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Country | US
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Telephone | 978-460-4048
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PINEWOOD AVE
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City | SUDBURY
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State | MA
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Zip | 01776-1584
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VANESSA THAI
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Credential | DMD
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Telephone | 978-460-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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