Ahmad Al Khafaji, DMD
Individual provider Active NPI Dentist · Hanover, MA
NPI 1487328563 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1487328563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN1859237 (MA)
- Practice address
- 20 East St
Hanover, MA 02339-1638 - Phone
- (781) 826-4499
- Fax
- (603) 546-0755
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859237 | MA | MD | Dentist |
| 04675 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Aligners and Braces PLLC | Dentist | Current | Accepting new patients |
| Granite Fields Dental, PLLC | Past |
Accepting new patients | |
| Nashua Area Family Dentistry | General Practice | Past |
Accepting new patients |
Locations
20 East St
Hanover, MA 02339
Phone (781) 826-1150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 04675 | NH | |
| Dentist | 122300000X | DN1859237 | MA | Yes |
Addresses
Primary practice location
20 East St
Hanover, MA 02339-1638
Mailing address
16 Central Ave
Newtonville, MA 02460-1707
Phone (470) 892-8847
Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.