NPI 1851474324 · live from the CMS NPI Registry
Emad Fathi Abdallah, D.M.D., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Dedham, MA. National Provider Identifier 1851474324, active.
NPI record
| NPI | 1851474324 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 107 Eastern Ave, Dedham, MA 02026 |
| Practice phone | 781-350-1001 |
| Mailing address | 72 Cedar Rd N, Medford, MA 02155 |
| Enumerated | October 20, 2006 |
| Last updated | June 7, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 21655 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.