Provider Demographics
NPI:1396728556
Name:SZAREK, MICHAEL S (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:SZAREK
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Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:75 ARCAND DR
Mailing Address - Street 2:PROFESSIONAL PARK
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1026
Mailing Address - Country:US
Mailing Address - Phone:978-454-9332
Mailing Address - Fax:978-454-7041
Practice Address - Street 1:75 ARCAND DR
Practice Address - Street 2:PROFESSIONAL PARK
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1026
Practice Address - Country:US
Practice Address - Phone:978-454-9332
Practice Address - Fax:978-454-7041
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA187661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX07981OtherBLUE CROSS/BLUE SHIELD