Active NPI
Dina Jamil, DMD
- Dentist
- Haverhill, MA
National Provider Identifier
1609594449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859574
- Practice address
- 400 Lowell Ave Ste 4
Haverhill, MA 01832-3661 - Phone
- (978) 914-6333
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859574 | MA | Primary |
Addresses
Primary practice location
400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Mailing address
100 Sudbury St Unit 403
Boston, MA 02114-2943
Phone (617) 858-9716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859574 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Dental of Haverhill LLC | Current | Accepting new patients |
Locations
400 Lowell Ave
Ste 4
Haverhill, MA 01832
Phone (978) 914-6333
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.
-
- General Practice Dentistry
- Haverhill, MA
- NPI 1265072524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1609594449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SUDBURY ST UNIT 403",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142943",
"telephone_number": "617-858-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LOWELL AVE STE 4",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018323661",
"telephone_number": "978-914-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIL",
"first_name": "DINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.