Layth A. Ghanim, BDS

Individual provider Active NPI General Practice Dentistry · Turners Falls, MA

NPI 1255644142 · NPPES record last updated Jul 20, 2010

Key facts

NPI
1255644142
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DL11009 (MA)
Practice address
338 Montague City Rd
Turners Falls, MA 01376-1830
Phone
(413) 772-3748
Fax
(413) 774-3072
NPI assigned
Jul 20, 2010
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

LicenseStateTypeSpecialty
DL11009MAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DL11009 MA Yes

Addresses

Primary practice location

338 Montague City Rd
Turners Falls, MA 01376-1830

Mailing address

338 Montague City Rd
Turners Falls, MA 01376-1830
Phone (413) 772-3748

Other providers in Turners Falls, MA

All providers in Turners Falls, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.