Akram E Rafla, BDS, DMS
Individual provider Active NPI Periodontics · Northboro, MA
NPI 1376659607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376659607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 18260 (MA)
- Practice address
- Suite 102
1 East Main St
Northboro, MA 01532 - Phone
- (508) 393-0161
- Fax
- (508) 351-6900
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602001560 | MA | Order and Referring Only - Other (Physician) |
0345561411 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18260 | MA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akram E Rafla, DMD, PC | Periodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 18260 | MA | Yes |
Addresses
Primary practice location
Suite 102
1 East Main St
Northboro, MA 01532
Mailing address
Suite 701
255 Park Ave
Worcester, MA 01609
Phone (508) 363-4400
Other providers in Northboro, MA
- Rebecca P Haberman
- Glenn Robin Kessler
- C Susie King
- Patricia a Pfeifer DMD PC
- Cynthia M Poulos
- Diane M. Rigney
All providers in Northboro, MA · Periodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.