Active NPIIndividual providerSole proprietor

Miassar Abutabikh

Dentist in Boston, Massachusetts

NPI Number1316701295
Practice location
635 Albany St, Boston, MA 02118-3550
Fax
—
Last updated
February 21, 2025

Miassar Abutabikh is a Dentist based in Boston, MA. Miassar Abutabikh practices in Boston, MA. The NPI Number for Miassar Abutabikh is 1316701295 and holds a License No. DN10000556 (MA). The current practice location address for Miassar Abutabikh is 635 Albany St, Boston, MA 02118-3550 and can be reached out via phone at 617-358-8300.

Provider Profile Details

NPI Number
1316701295
Provider Name
Miassar Abutabikh
Provider Entity Type
Individual
Gender
Female
Address
635 Albany St, Boston, MA 02118-3550
Phone Number
617-358-8300
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2024
Last Update Date
February 21, 2025
Certification Date
February 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
635 Albany St
Boston, MA 02118-3550
City
Boston
Zip
02118-3550
Phone Number
617-358-8300
Boston, MA 02118Get directions →

Provider Business Mailing Address Details

Address
334 Broadway
Revere, MA 02151-5016
City
Revere
State
MA
Zip
02151-5016

License Information

License Number
DN10000556
License State
MA
Taxonomy
Dentist · 122300000X · 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 Miassar Abutabikh?

The NPI number of Miassar Abutabikh is 1316701295. It was assigned on February 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Miassar Abutabikh?

Miassar Abutabikh is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10000556.

Where does Miassar Abutabikh practice?

The practice location is 635 Albany St, Boston, MA 02118-3550. The office can be reached at 617-358-8300 (phone).

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 1316701295 directly on the NPPES registry website.

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