Active NPIIndividual provider

Jad Mourad

Dentist in Medford, Massachusetts

NPI Number1790248235
Practice location
101 Main St Ste 206, Medford, MA 02155-4530
Fax
—
Last updated
January 12, 2021

Jad Mourad is a Dentist based in Medford, MA. Jad Mourad practices in Medford, MA. The NPI Number for Jad Mourad is 1790248235 and holds a License No. DN1858810 (MA). The current practice location address for Jad Mourad is 101 Main St Ste 206, Medford, MA 02155-4530 and can be reached out via phone at 781-395-5545.

Provider Profile Details

NPI Number
1790248235
Provider Name
Jad Mourad
Provider Entity Type
Individual
Gender
Male
Address
101 Main St Ste 206, Medford, MA 02155-4530
Phone Number
781-395-5545
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2019
Last Update Date
January 12, 2021
Certification Date
January 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St Ste 206
Medford, MA 02155-4530
Zip
02155-4530
Phone Number
781-395-5545
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Main St Ste 206
Medford, MA 02155-4530
City
Medford
State
MA
Zip
02155-4530
Phone Number
781-395-5545

License Information

License Number
DN1858810
License State
MA
Taxonomy
Dentist · 122300000X · 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 Jad Mourad?

The NPI number of Jad Mourad is 1790248235. It was assigned on April 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Jad Mourad?

Jad Mourad is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858810.

Where does Jad Mourad practice?

The practice location is 101 Main St Ste 206, Medford, MA 02155-4530. The office can be reached at 781-395-5545 (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 1790248235 directly on the NPPES registry website.

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