Marc Bou-Abboud, DMD
Individual provider Active NPI General Practice Dentistry · Lunenburg, MA
NPI 1245890722 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1245890722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN1858269 (MA)
- Practice address
- 40 Massachusetts Ave
Lunenburg, MA 01462-1248 - Phone
- (978) 401-0221
- NPI assigned
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858269 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858269 | MA | Yes |
Addresses
Primary practice location
40 Massachusetts Ave
Lunenburg, MA 01462-1248
Mailing address
24 Middlesex Cir Apt 3
Waltham, MA 02452-6264
Phone (304) 673-5493
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brightsquid |
Other providers in Lunenburg, MA
- Sophia Benedisuk
- Talia Hope Blaisdell
- Lyn Bohan
- Bruna Bonnet
- Anabel Bordas
- Gary Bowler Jr.
- Michelle Nicole Brennick
- Ana J Brito
- Michael Brodmerkle
- Cynthia Brown
All providers in Lunenburg, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.