Manar Al Nuwab – General Practice Dentistry

Key facts

NPI: 1841948692
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DN1859436 (MA)
Practice address: 505 Front St
Chicopee, MA 01013-3140
Phone: (413) 420-2222
NPI assigned: Mar 11, 2022
Sex: Female
Sole proprietor: Yes

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.

Oakdale Dental Associates PC General Practice Dentistry · Holyoke, MA · NPI 1275541120

NPD (past) GENERAL PRACTICE

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
DN1859436	MA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Oakdale Dental Associates PC	General Practice	Past since Apr 21, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
General Practice Dentistry	1223G0001X	DN1859436	MA	Yes

Addresses

Primary practice location

505 Front St
Chicopee, MA 01013-3140

Mailing address

1820 Northampton St
Holyoke, MA 01040-1923
Phone (413) 536-1782

Other providers in Chicopee, MA

All providers in Chicopee, MA · General Practice 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 Apr 18, 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.

Verify at the official NPI Registry.