Dr. Mario E Abdennour, DMD MMSC
Dentist, Endodontics in Boston, Massachusetts
1689749574- Practice location
- 188 Longwood Ave, Boston, MA 02115
- Phone
- 978-505-1969
- Fax
- 978-688-6465
- Last updated
- October 17, 2007
Dr. Mario E Abdennour, DMD MMSC is a Dentist, Endodontics based in Boston, MA. Dr. Mario E Abdennour, DMD MMSC holds the professional credentials of DMD MMSC. The NPI number for Dr. Mario E Abdennour, DMD MMSC is 1689749574 and holds license No. 19242 (MA). The current practice location address is 188 Longwood Ave, Boston, MA 02115 and the office can be reached by phone at 978-505-1969 and by fax at 978-688-6465. The NPI was assigned on November 24, 2006 and the record was last updated in NPPES on October 17, 2007.
●Provider Profile Details
- NPI Number
- 1689749574
- Provider Name
- Mario E Abdennour
- Credential
- DMD MMSC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Dentist, Endodontics · 1223E0200X
- Sole Proprietor
- No
- Enumeration Date
- November 24, 2006
- Last Update Date
- October 17, 2007
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 188 Longwood Ave
Boston, MA 02115 - City
- Boston
- State
- Massachusetts
- ZIP
- 02115
- Country
- US
- Phone Number
- 978-505-1969
- Fax Number
- 978-688-6465
✉Business Mailing Address
- Address
- 75 Thistle RD
North Andover, MA 01845-4745 - City
- North Andover
- State
- MA
- ZIP
- 01845-4745
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, Endodontics | 1223E0200X | Yes | 19242 | MA |
| Dentist, Endodontics | 1223E0200X | No | 3244 | NH |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Boston →?Frequently Asked Questions
What is the NPI number of Dr. Mario E Abdennour, DMD MMSC?
The NPI number of Dr. Mario E Abdennour, DMD MMSC is 1689749574. It was assigned on November 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mario E Abdennour, DMD MMSC?
Dr. Mario E Abdennour, DMD MMSC is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X) and holds license No. 19242 (MA).
Where does Dr. Mario E Abdennour, DMD MMSC practice?
The practice location is 188 Longwood Ave, Boston, MA 02115. The office can be reached at 978-505-1969 (phone) or 978-688-6465 (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 1689749574 directly on the NPPES registry website at npiregistry.cms.hhs.gov.