Active NPIOrganization

M Moheban DMD PC

Dentist, General Practice in Northborough, Massachusetts

NPI Number1326207796
Practice location
154 Main St, Northborough, MA 01532-1930
Fax
508-393-9782
Last updated
June 2, 2008

M Moheban DMD PC is a healthcare organization based in Northborough, MA. M Moheban DMD PC practices in Northborough, MA. The NPI Number for M Moheban DMD PC is 1326207796 and holds a License No. 11905 (MA). The current practice location address for M Moheban DMD PC is 154 Main St, Northborough, MA 01532-1930 and can be reached out via phone at 508-393-2522 and via fax at 508-393-9782.

Provider Profile Details

NPI Number
1326207796
Provider Name
M Moheban DMD PC
Provider Entity Type
Organization
Address
154 Main St, Northborough, MA 01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Mansour Moheban, DMD · President · 508-393-2522
Other Names
Advanced Dental (Doing Business As)
Provider Enumeration Date
June 2, 2008
Last Update Date
June 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
154 Main St
Northborough, MA 01532-1930
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
Northborough, MA 01532Get directions →

Provider Business Mailing Address Details

Address
154 Main St
Northborough, MA 01532-1930
City
Northborough
State
MA
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782

License Information

License Number
11905
License State
MA
Taxonomy
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 M Moheban DMD PC?

The NPI number of M Moheban DMD PC is 1326207796. It was assigned on June 2, 2008 and is currently active in the NPPES registry.

What is the specialty of M Moheban DMD PC?

M Moheban DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 11905.

Where does M Moheban DMD PC practice?

The practice location is 154 Main St, Northborough, MA 01532-1930. The office can be reached at 508-393-2522 (phone) or 508-393-9782 (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 1326207796 directly on the NPPES registry website.

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