Great Woods Family Dentistry
Dentist, General Practice in Mansfield, Massachusetts
1841670262- Practice location
- 792 S Main St, Suite 24, Mansfield, MA 02048-3137
- Phone
- 508-339-4171
- Fax
- 508-339-4171
- Last updated
- June 1, 2015
Great Woods Family Dentistry is a healthcare organization based in Mansfield, MA. Great Woods Family Dentistry practices in Mansfield, MA. The NPI Number for Great Woods Family Dentistry is 1841670262 and holds a License No. DN17639 (MA). The current practice location address for Great Woods Family Dentistry is 792 S Main St, Suite 24, Mansfield, MA 02048-3137 and can be reached out via phone at 508-339-4171 and via fax at 508-339-4171.
Provider Profile Details
- NPI Number
- 1841670262
- Provider Name
- Great Woods Family Dentistry
- Provider Entity Type
- Organization
- Address
- 792 S Main St, Suite 24, Mansfield, MA 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-4171
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Wahid Mistikawi, DMD · Owner/Doctor · 508-339-4171
- Provider Enumeration Date
- June 1, 2015
- Last Update Date
- June 1, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 792 S Main St
Suite 24
Mansfield, MA 02048-3137 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-4171
Provider Business Mailing Address Details
- Address
- 792 S Main St
Suite 24
Mansfield, MA 02048-3137 - City
- Mansfield
- State
- MA
- Zip
- 02048-3137
- Phone Number
- 508-339-4171
- Fax Number
- 508-339-8311
License Information
- License Number
- DN17639
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Great Woods Family Dentistry?
The NPI number of Great Woods Family Dentistry is 1841670262. It was assigned on June 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Great Woods Family Dentistry?
Great Woods Family Dentistry is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN17639.
Where does Great Woods Family Dentistry practice?
The practice location is 792 S Main St, Suite 24, Mansfield, MA 02048-3137. The office can be reached at 508-339-4171 (phone) or 508-339-4171 (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 1841670262 directly on the NPPES registry website.