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M Moheban Dmd Pc
General Practice Dentistry in Northborough, Massachusetts
NPI 1326207796

M Moheban Dmd Pc is a General Practice Dentistry based in Northborough, MA and is specialized in General Practice. M Moheban Dmd Pc practices in Northborough, MA. The NPI Number for M Moheban Dmd Pc is 1326207796 and holds a License No. 11905 (Massachusetts).

The current practice location address for M Moheban Dmd Pc is 154 Main St, Northborough, MA and can be reached out via phone at 508-393-2522 and via fax at 508-393-9782.

Location: 154 Main St, Northborough, MA, 01532-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326207796
Provider Name
M Moheban Dmd Pc
Credential
Provider Entity Type
Organization
Address
154 Main St, Northborough, MA, 01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X12350 01 MA BCBS MA
X12351 01 MA BCBS MA
X12515 01 MA BCBS MA
1331231 01 MA UNITED CONCORDIA
262609 01 MA MASS HEALTH
38400 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
154 Main St
City
Northborough
State
Massachusetts
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
person
Provider Business Mailing Address Details
Address
154 Main St
City
Northborough
State
Massachusetts
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11905 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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