Jeffrey H Ahlin, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Gloucester, MA
NPI 1639199151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639199151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- MA11443 (MA)
- Practice address
- One Essex Avenue
Gloucester, MA 01930-4927 - Phone
- (978) 283-4500
- Fax
- (978) 283-3030
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| MA11443 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | MA11443 | MA | Yes |
Addresses
Primary practice location
One Essex Avenue
Gloucester, MA 01930-4927
Mailing address
One Essex Avenue
Gloucester, MA 01930-4927
Phone (978) 283-4500
Other providers in Gloucester, MA
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- Zachary Thomas Abbott
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- Dawn Elizabeth Adams
- Adult Foster Care of the North Shore, Inc.
- Andrea Alexander
- Annmarie Alfano
- Samantha E Alves
- Barbara Jean Amero
- Peter Holt Anderson
All providers in Gloucester, MA · Orthodontics and Dentofacial Orthopedics Dentistry 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.