Emad Fathi Abdallah, D.M.D., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Dedham, MA
NPI 1851474324 · NPPES record last updated Jun 7, 2010
Key facts
- NPI
- 1851474324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 21655 (MA)
- Practice address
- 107 Eastern Ave
Dedham, MA 02026-4515 - Phone
- (781) 350-1001
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 21655 | MA | Yes |
Addresses
Primary practice location
107 Eastern Ave
Dedham, MA 02026-4515
Mailing address
72 Cedar Rd N
Medford, MA 02155-1906
Other providers in Dedham, MA
- 1007 East Street Operator LLC
- A & S Optical Inc.
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- A&S Optical Inc.
- Laura Abasciano
- Laura Abdallah
- Michael Robert Adams
- Adfiliare Psychotherapy Inc
- Advanced Ancillary Services PLLC
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All providers in Dedham, 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 Jun 7, 2010. 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.