Bay State Dental Specialists PC

Organization Active NPI Periodontics · Winchester, MA

NPI 1124135439 · NPPES record last updated Aug 29, 2007

Key facts

NPI
1124135439
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
License
18623 (MA)
Legal business name
BAY STATE DENTAL SPECIALISTS PC
Practice address
10 Converse Place
4TH Floor
Winchester, MA 01890
Phone
(781) 727-4644
Fax
(781) 729-0581
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

Name
Dr. Noha Anan Elkadry, DMD
Title
President
Phone
(781) 729-4644

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0300X 18623 MA Yes

Addresses

Primary practice location

10 Converse Place
4TH Floor
Winchester, MA 01890

Mailing address

10 Converse Place
4TH Floor
Winchester, MA 01890
Phone (781) 727-4644

Other providers in Winchester, MA

All providers in Winchester, MA · Periodontics in Massachusetts

Sources for this page

Verify at the official NPI Registry.