Active NPIIndividual providerSole proprietor

Dr. Moataz M Shaban, BDS, DMD

Dentist, General Practice in Indian Orchard, Massachusetts

NPI Number1518127612
Practice location
439 Main St Ste A, Indian Orchard, MA 01151-1239
Fax
—
Last updated
June 11, 2008

Moataz Mohammed Shaban is a Dentist, General Practice based in Indian Orchard, MA. Moataz Mohammed Shaban practices in Indian Orchard, MA and has the professional credentials of BDS, DMD. The NPI Number for Moataz Mohammed Shaban is 1518127612 and holds a License No. 22158 (MA). The current practice location address for Moataz Mohammed Shaban is 439 Main St Ste A, Indian Orchard, MA 01151-1239 and can be reached out via phone at 413-543-1202.

Provider Profile Details

NPI Number
1518127612
Provider Name
Moataz Mohammed Shaban
Credential
BDS, DMD
Provider Entity Type
Individual
Gender
Male
Address
439 Main St Ste A, Indian Orchard, MA 01151-1239
Phone Number
413-543-1202
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2008
Last Update Date
June 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
439 Main St Ste A
Indian Orchard, MA 01151-1239
Zip
01151-1239
Phone Number
413-543-1202
Indian Orchard, MA 01151Get directions →

Provider Business Mailing Address Details

Address
439 Main St Ste A
Indian Orchard, MA 01151-1239
City
Indian Orchard
State
MA
Zip
01151-1239
Phone Number
413-543-1202

License Information

License Number
22158
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 Dr. Moataz M Shaban, BDS, DMD?

The NPI number of Dr. Moataz M Shaban, BDS, DMD is 1518127612. It was assigned on June 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Moataz M Shaban, BDS, DMD?

Dr. Moataz M Shaban, BDS, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22158.

Where does Dr. Moataz M Shaban, BDS, DMD practice?

The practice location is 439 Main St Ste A, Indian Orchard, MA 01151-1239. The office can be reached at 413-543-1202 (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 1518127612 directly on the NPPES registry website.

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