Active NPIIndividual provider

Marwa Elleboudy, BDS, LD

Dentist, General Practice in Provincetown, Massachusetts

NPI Number1225457567
Practice location
49 Harry Kemp Way, Outer Cape Health Services, INC., Provincetown, MA 02657
Fax
508-487-3285
Last updated
May 13, 2014

Marwa Elleboudy is a Dentist, General Practice based in Provincetown, MA. Marwa Elleboudy practices in Provincetown, MA and has the professional credentials of BDS, LD. The NPI Number for Marwa Elleboudy is 1225457567 and holds a License No. DL12170 (MA). The current practice location address for Marwa Elleboudy is 49 Harry Kemp Way, Outer Cape Health Services, INC., Provincetown, MA 02657 and can be reached out via phone at 508-487-9395 and via fax at 508-487-3285.

Provider Profile Details

NPI Number
1225457567
Provider Name
Marwa Elleboudy
Credential
BDS, LD
Provider Entity Type
Individual
Gender
Female
Address
49 Harry Kemp Way, Outer Cape Health Services, INC., Provincetown, MA 02657
Phone Number
508-487-9395
Fax Number
508-487-3285
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2014
Last Update Date
May 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Harry Kemp Way
Outer Cape Health Services, INC.
Provincetown, MA 02657
Zip
02657
Phone Number
508-487-9395
Fax Number
508-487-3285
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
Po Box 1413
Outer Cape Health Services, INC.
Wellfleet, MA 02667
City
Wellfleet
State
MA
Zip
02667
Phone Number
508-240-0208
Fax Number
508-240-0499

License Information

License Number (1)
DL12170
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Marwa Elleboudy, BDS, LD?

The NPI number of Marwa Elleboudy, BDS, LD is 1225457567. It was assigned on April 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Marwa Elleboudy, BDS, LD?

Marwa Elleboudy, BDS, LD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DL12170.

Where does Marwa Elleboudy, BDS, LD practice?

The practice location is 49 Harry Kemp Way, Outer Cape Health Services, INC., Provincetown, MA 02657. The office can be reached at 508-487-9395 (phone) or 508-487-3285 (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 1225457567 directly on the NPPES registry website.

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