Active NPIOrganization

Medway Family Dental PLLC

Dentist, General Practice in Medway, Massachusetts

NPI Number1750872636
Practice location
131 Main St, Medway, MA 02053-1576
Fax
508-533-7455
Last updated
December 9, 2019

Medway Family Dental PLLC is a healthcare organization based in Medway, MA. Medway Family Dental PLLC practices in Medway, MA. The NPI Number for Medway Family Dental PLLC is 1750872636 and holds a License No. 20694 (MA). The current practice location address for Medway Family Dental PLLC is 131 Main St, Medway, MA 02053-1576 and can be reached out via phone at 508-533-7461 and via fax at 508-533-7455.

Provider Profile Details

NPI Number
1750872636
Provider Name
Medway Family Dental PLLC
Provider Entity Type
Organization
Address
131 Main St, Medway, MA 02053-1576
Phone Number
508-533-7461
Fax Number
508-533-7455
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Edmond Massabni · Dds/Owner · 508-473-7632
Other Names
Medway Family Dental (Doing Business As)
Provider Enumeration Date
May 25, 2018
Last Update Date
December 9, 2019
Certification Date
December 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Main St
Medway, MA 02053-1576
City
Medway
Zip
02053-1576
Phone Number
508-533-7461
Fax Number
508-533-7455
Medway, MA 02053Get directions →

Provider Business Mailing Address Details

Address
131 Main St
Medway, MA 02053-1576
City
Medway
State
MA
Zip
02053-1576
Phone Number
508-533-7461
Fax Number
508-533-7455

License Information

License Number
20694
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 Medway Family Dental PLLC?

The NPI number of Medway Family Dental PLLC is 1750872636. It was assigned on May 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Medway Family Dental PLLC?

Medway Family Dental PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20694.

Where does Medway Family Dental PLLC practice?

The practice location is 131 Main St, Medway, MA 02053-1576. The office can be reached at 508-533-7461 (phone) or 508-533-7455 (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 1750872636 directly on the NPPES registry website.

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