Active NPIOrganization

Waban Dental Specialist Group

Clinic/Center, Dental in Waban, Massachusetts

NPI Number1356989446
Practice location
1180 Beacon Street, Waban, MA 02461
Fax
—
Last updated
September 11, 2025

Waban Dental Specialist Group is a healthcare organization based in Waban, MA. Waban Dental Specialist Group practices in Waban, MA. The NPI Number for Waban Dental Specialist Group is 1356989446. The current practice location address for Waban Dental Specialist Group is 1180 Beacon Street, Waban, MA 02461 and can be reached out via phone at 617-527-6061.

Provider Profile Details

NPI Number
1356989446
Provider Name
Waban Dental Specialist Group
Provider Entity Type
Organization
Address
1180 Beacon Street, Waban, MA 02461
Phone Number
617-527-6061
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Alaaeddin Alwazzan · President · 781-894-0347
Other Names
Waban Dental Group (Doing Business As)
Provider Enumeration Date
December 19, 2019
Last Update Date
September 11, 2025
Certification Date
December 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1180 Beacon Street
Waban, MA 02461
City
Waban
Zip
02461
Phone Number
617-527-6061
Waban, MA 02461Get directions →

Provider Business Mailing Address Details

Address
1180 Beacon Street
Waban, MA 02461
City
Waban
State
MA
Zip
02461

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Waban Dental Specialist Group?

The NPI number of Waban Dental Specialist Group is 1356989446. It was assigned on December 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Waban Dental Specialist Group?

Waban Dental Specialist Group is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Waban Dental Specialist Group practice?

The practice location is 1180 Beacon Street, Waban, MA 02461. The office can be reached at 617-527-6061 (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 1356989446 directly on the NPPES registry website.

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