Hamasat Gheddaf Dam, DMD,PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856379 Issued in MA

Legal business name

HAMASAT GHEDDAF DAM, DMD,PC

Doing business as

Prudential Dental Associates

Practice address

575 Boylston St FL 7
Boston, MA 02116-3607

Phone

(617) 267-3889

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hamasat Gheddaf Dam, DMD, DR.MED.DENT

Title

President/Owner

Phone

(617) 267-3889

Specialties & licenses 1

Addresses

Other names 1

• Prudential Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1346622529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BOYLSTON ST FL 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163607",
            "telephone_number": "617-267-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BOYLSTON ST FL 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163607",
            "telephone_number": "617-267-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMASAT GHEDDAF DAM, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "GHEDDAF DAM",
        "authorized_official_first_name": "HAMASAT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-267-3889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DR.MED.DENT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prudential Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahmoud Hamad, DMD
• Ahmed M Hamada-Ibrahim, D.M.D
• Noha Hamada, MD
• Ryoko Hamaguchi
• Ruchi Hamal, MD
• Nicolas Hamber
• Makenna Hambley
• Naomi M Hamburg, M.D.
• Allen D Hamdan, M.D.
• Omar Hamdan

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.