Shahab Afzaal, DMD

Individual provider Active NPI General Practice Dentistry · Framingham, MA

NPI 1356401236 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356401236
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
18069 (MA)
Practice address
463 Worcester Rd
Suite 201
Framingham, MA 01604
Phone
(508) 820-7792
Fax
(508) 872-5483
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
18069MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sham Tang and Tam PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18069 MA Yes

Addresses

Primary practice location

463 Worcester Rd
Suite 201
Framingham, MA 01604

Mailing address

18 Middlesex Ave
Worcester, MA 01604
Phone (508) 756-9106

Other providers in Framingham, MA

All providers in Framingham, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.