Dr. Eric R Gheewalla, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Medford, Massachusetts
1194721795- Practice location
- 82 Forest St, Medford, MA 02155-3130
- Phone
- 781-396-1980
- Fax
- 781-396-4224
- Last updated
- July 8, 2007
Eric R Gheewalla is a Dentist, Orthodontics and Dentofacial Orthopedics based in Medford, MA. Eric R Gheewalla practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Eric R Gheewalla is 1194721795 and holds a License No. 18335 (MA). The current practice location address for Eric R Gheewalla is 82 Forest St, Medford, MA 02155-3130 and can be reached out via phone at 781-396-1980 and via fax at 781-396-4224.
Provider Profile Details
- NPI Number
- 1194721795
- Provider Name
- Eric R Gheewalla
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 82 Forest St, Medford, MA 02155-3130
- Phone Number
- 781-396-1980
- Fax Number
- 781-396-4224
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Forest St
Medford, MA 02155-3130 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3130
- Phone Number
- 781-396-1980
- Fax Number
- 781-396-4224
Provider Business Mailing Address Details
- Address
- 82 Forest St
Medford, MA 02155-3130 - City
- Medford
- State
- MA
- Zip
- 02155-3130
- Phone Number
- 781-396-1980
- Fax Number
- 781-396-4224
License Information
- License Number
- 18335
- License State
- MA
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Eric R Gheewalla, DMD?
The NPI number of Dr. Eric R Gheewalla, DMD is 1194721795. It was assigned on June 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Eric R Gheewalla, DMD?
Dr. Eric R Gheewalla, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 18335.
Where does Dr. Eric R Gheewalla, DMD practice?
The practice location is 82 Forest St, Medford, MA 02155-3130. The office can be reached at 781-396-1980 (phone) or 781-396-4224 (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 1194721795 directly on the NPPES registry website.