Tina Arora-Mohan, DMD

Individual provider Active NPI General Practice Dentistry · Natick, MA

NPI 1639255672 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1639255672
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
20862 (MA)
Practice address
1300D Worcester Road
Natick, MA 01760-1501
Phone
(508) 655-2900
NPI assigned
Oct 31, 2006
Sex
Female
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
20862MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
42 North Dental Care, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20862 MA Yes

Addresses

Primary practice location

1300D Worcester Road
Natick, MA 01760-1501

Mailing address

361 Church St
Northborough, MA 01532-1231

Other providers in Natick, MA

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

Sources for this page

Verify at the official NPI Registry.