Lara Haddad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859595 Issued in MA

Practice address

11 W Main St
Westborough, MA 01581-1936

Phone

(617) 417-6897

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1255052833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LANGLEY RD APT 206",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811936",
            "telephone_number": "617-417-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "LARA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M Gure
• Heather Gustafson, PA-C
• Marie Jean Guyette, MS, CGC
• Jeffrey Ha, MD
• Madeleine Haas, LICSW
• Diane Hagan
• Faiyaz H Hakim, MD
• Farah Hakim
• Stephanie E Hallam, PH.D., FACMG
• Toshal S Hallowell, RPH

• General Practice Dentistry in Westborough, MA
• Providers in Westborough, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.