Wahid Mistikawi DBA Greatwoods Family Dentistry
Preferred Provider Organization in Mansfield, Massachusetts
1417399270- Practice location
- 792SOUTH Main St, 24, Mansfield, MA 02048-3137
- Phone
- 508-339-4171
- Fax
- 508-339-8311
- Last updated
- July 22, 2013
Wahid Mistikawi DBA Greatwoods Family Dentistry is a healthcare organization based in Mansfield, MA. Wahid Mistikawi DBA Greatwoods Family Dentistry practices in Mansfield, MA. The NPI Number for Wahid Mistikawi DBA Greatwoods Family Dentistry is 1417399270 and holds a License No. DN17639 (MA). The current practice location address for Wahid Mistikawi DBA Greatwoods Family Dentistry is 792SOUTH Main St, 24, Mansfield, MA 02048-3137 and can be reached out via phone at 508-339-4171 and via fax at 508-339-8311.
Provider Profile Details
- NPI Number
- 1417399270
- Provider Name
- Wahid Mistikawi DBA Greatwoods Family Dentistry
- Provider Entity Type
- Organization
- Address
- 792SOUTH Main St, 24, Mansfield, MA 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-8311
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Wahid Mistikawi, DMD · Dentist · 508-339-4171
- Provider Enumeration Date
- July 22, 2013
- Last Update Date
- July 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 792SOUTH Main St
24
Mansfield, MA 02048-3137 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-8311
Provider Business Mailing Address Details
- Address
- 792 S Main St
Mansfield, MA 02048-3137 - City
- Mansfield
- State
- MA
- Zip
- 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-8311
License Information
- License Number
- DN17639
- License State
- MA
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Wahid Mistikawi DBA Greatwoods Family Dentistry?
The NPI number of Wahid Mistikawi DBA Greatwoods Family Dentistry is 1417399270. It was assigned on July 22, 2013 and is currently active in the NPPES registry.
What is the specialty of Wahid Mistikawi DBA Greatwoods Family Dentistry?
Wahid Mistikawi DBA Greatwoods Family Dentistry is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in MA under license number DN17639.
Where does Wahid Mistikawi DBA Greatwoods Family Dentistry practice?
The practice location is 792SOUTH Main St, 24, Mansfield, MA 02048-3137. The office can be reached at 508-339-4171 (phone) or 508-339-8311 (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 1417399270 directly on the NPPES registry website.