Omni Dentix & Assoc.
Dentist, Pediatric Dentistry in Medford, Massachusetts
1104088491- Practice location
- 3850 Mystic Valley Pkwy, Suite 20, Medford, MA 02155-6901
- Phone
- 781-396-6613
- Fax
- 781-395-4292
- Last updated
- June 27, 2008
Omni Dentix & Assoc. is a healthcare organization based in Medford, MA. Omni Dentix & Assoc. practices in Medford, MA. The NPI Number for Omni Dentix & Assoc. is 1104088491 and holds a License No. 20309 (MA). The current practice location address for Omni Dentix & Assoc. is 3850 Mystic Valley Pkwy, Suite 20, Medford, MA 02155-6901 and can be reached out via phone at 781-396-6613 and via fax at 781-395-4292.
Provider Profile Details
- NPI Number
- 1104088491
- Provider Name
- Omni Dentix & Assoc.
- Provider Entity Type
- Organization
- Address
- 3850 Mystic Valley Pkwy, Suite 20, Medford, MA 02155-6901
- Phone Number
- 781-396-6613
- Fax Number
- 781-395-4292
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Mr. Mohammed E Mobasherat, DMD, DDS · President · 781-396-6613
- Provider Enumeration Date
- June 27, 2008
- Last Update Date
- June 27, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3850 Mystic Valley Pkwy
Suite 20
Medford, MA 02155-6901 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-6901
- Phone Number
- 781-396-6613
- Fax Number
- 781-395-4292
Provider Business Mailing Address Details
- Address
- 3850 Mystic Valley Pkwy
Suite 20
Medford, MA 02155-6901 - City
- Medford
- State
- MA
- Zip
- 02155-6901
- Phone Number
- 781-396-6613
- Fax Number
- 781-395-4292
License Information
- License Number (1)
- 20309
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 13913
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (3)
- 15376
- License State (3)
- MA
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Medford, MA
View all Dentist, Pediatric Dentistry providers in Medford →- Children'S Dental AssociatesDentist, Pediatric Dentistry · NPI 1609103795
- David M. Petrarca, DDS & Sungyon Bang, DMD, P.c.Dentist, Pediatric Dentistry · NPI 1316915788
- Dr. David M Petrarca, DDSDentist, Pediatric Dentistry · NPI 1487623559
- Dr. Donna Hackley, DMDDentist, Pediatric Dentistry · NPI 1770546491
- Dr. Panasaya Buckley, DMDDentist, Pediatric Dentistry · NPI 1336427665
- Dr. Peter B GellerDentist, Pediatric Dentistry · NPI 1922077130
Frequently Asked Questions
What is the NPI number of Omni Dentix & Assoc.?
The NPI number of Omni Dentix & Assoc. is 1104088491. It was assigned on June 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Omni Dentix & Assoc.?
Omni Dentix & Assoc. is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 20309.
Where does Omni Dentix & Assoc. practice?
The practice location is 3850 Mystic Valley Pkwy, Suite 20, Medford, MA 02155-6901. The office can be reached at 781-396-6613 (phone) or 781-395-4292 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104088491 directly on the NPPES registry website.