Mashal Farrukh, DDS
Individual provider Active NPI Dentist · Emmaus, PA
NPI 1760163323 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1760163323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS045315 (PA)
- Practice address
- 927 Chestnut St
Emmaus, PA 18049-2021 - Phone
- (610) 965-2755
- NPI assigned
- Jul 27, 2023
- Reactivated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| DS045315 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Smile Dental Creator LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS045315 | PA | Yes |
Addresses
Primary practice location
927 Chestnut St
Emmaus, PA 18049-2021
Mailing address
927 Chestnut St
Emmaus, PA 18049-2021
Phone (610) 965-2755
Other practice location 1
501 N 17th St Ste 107
Allentown, PA 18104-5044
Phone (484) 350-3239
Other providers in Emmaus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. 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.