Fady Georges Eid, DMD, DSCD, MSED

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1858595 Issued in MA

Practice address

802 Constitution Ave
Littleton, MA 01460-1137

Phone

(978) 501-2222

NPI assigned

Apr 14, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zwell, P.C.

  • General Practice Dentistry
  • Littleton, MA
  • NPI 1790209344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1053974295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CONSTITUTION AVE",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601137",
            "telephone_number": "978-501-2222",
            "fax_number": "978-501-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CONSTITUTION AVE",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601137",
            "telephone_number": "978-501-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Albany St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183550",
            "country_code": "US",
            "telephone_number": "617-358-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Grove St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051270",
            "country_code": "US",
            "telephone_number": "774-317-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "FADY",
        "middle_name": "GEORGES",
        "name_prefix": "Dr.",
        "credential": "DMD, DSCD, MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858595",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042320",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1858595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Kotsaftis
• Ann Randolph Donald, PH.D
• Jacqueline Emilie Donohue
• Thomas W Dorrance, MSW
• Gerard Joseph Dybel, PT
• Camily Elias
• Maggie Escobosa-Hernandez
• Judy Qin Fang, LAC
• Christina Feng, M.A.
• Megan Ford

• Periodontics in Littleton, MA
• Providers in Littleton, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.