Active NPIIndividual providerSole proprietor

Mohamed Ali Boukheir, DMD

Dentist, Oral and Maxillofacial Surgery in Madison, New Jersey

NPI Number1518351964
Practice location
268 Main St, Madison, NJ 07940-2269
Fax
—
Last updated
March 16, 2020

Mohamed Ali Boukheir is a Dentist, Oral and Maxillofacial Surgery based in Madison, NJ. Mohamed Ali Boukheir practices in Madison, NJ and has the professional credentials of DMD. The NPI Number for Mohamed Ali Boukheir is 1518351964 and holds a License No. 019030599 (IL). The current practice location address for Mohamed Ali Boukheir is 268 Main St, Madison, NJ 07940-2269 and can be reached out via phone at 973-822-8003.

Provider Profile Details

NPI Number
1518351964
Provider Name
Mohamed Ali Boukheir
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
268 Main St, Madison, NJ 07940-2269
Phone Number
973-822-8003
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2015
Last Update Date
March 16, 2020
Certification Date
March 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
268 Main St
Madison, NJ 07940-2269
Zip
07940-2269
Phone Number
973-822-8003
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
268 Main St
Madison, NJ 07940-2269
City
Madison
State
NJ
Zip
07940-2269

License Information

License Number (1)
019030599
License State (1)
IL
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02778000
License State (2)
NJ
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Mohamed Ali Boukheir, DMD?

The NPI number of Mohamed Ali Boukheir, DMD is 1518351964. It was assigned on March 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Mohamed Ali Boukheir, DMD?

Mohamed Ali Boukheir, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in IL under license number 019030599.

Where does Mohamed Ali Boukheir, DMD practice?

The practice location is 268 Main St, Madison, NJ 07940-2269. The office can be reached at 973-822-8003 (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 1518351964 directly on the NPPES registry website.

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