Dr. Mansour Moheban, DMD
Dentist, Periodontics in Northborough, Massachusetts
1679632467- Practice location
- 154 Main St, Northborough, MA 01532-1930
- Phone
- 508-393-2522
- Fax
- 508-393-9782
- Last updated
- February 25, 2008
Mansour Moheban is a Dentist, Periodontics based in Northborough, MA. Mansour Moheban practices in Northborough, MA and has the professional credentials of DMD. The NPI Number for Mansour Moheban is 1679632467 and holds a License No. 11905 (MA). The current practice location address for Mansour Moheban is 154 Main St, Northborough, MA 01532-1930 and can be reached out via phone at 508-393-2522 and via fax at 508-393-9782.
Provider Profile Details
- NPI Number
- 1679632467
- Provider Name
- Mansour Moheban
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 154 Main St, Northborough, MA 01532-1930
- Phone Number
- 508-393-2522
- Fax Number
- 508-393-9782
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 7, 2006
- Last Update Date
- February 25, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 154 Main St
Northborough, MA 01532-1930 - City
- Northborough
- State
- Massachusetts
- Zip
- 01532-1930
- Phone Number
- 508-393-2522
- Fax Number
- 508-393-9782
Provider Business Mailing Address Details
- Address
- 154 Main St
Northborough, MA 01532-1930 - City
- Northborough
- State
- MA
- Zip
- 01532-1930
- Phone Number
- 508-393-2522
- Fax Number
- 508-393-9782
License Information
- License Number
- 11905
- License State
- MA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · 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 Dr. Mansour Moheban, DMD?
The NPI number of Dr. Mansour Moheban, DMD is 1679632467. It was assigned on December 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mansour Moheban, DMD?
Dr. Mansour Moheban, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 11905.
Where does Dr. Mansour Moheban, DMD practice?
The practice location is 154 Main St, Northborough, MA 01532-1930. The office can be reached at 508-393-2522 (phone) or 508-393-9782 (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 1679632467 directly on the NPPES registry website.