Mohamed A Maksoud, DMD PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12016 Issued in FL

Practice address

10 Nouvelle Way Unit T926
Natick, MA 01760-1593

Phone

(904) 434-9692

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1891707428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NOUVELLE WAY UNIT T926",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601593",
            "telephone_number": "904-434-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NOUVELLE WAY UNIT T926",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601593",
            "telephone_number": "904-434-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSOUD",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "credential": "DMD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "12016",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12016",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "254685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Magit
• Karen Lesley Magoon
• Meaghan Maguire
• Choompol Mahasaen, M,D
• Making Way Counseltation P.C.
• Amy Maladore
• Frank R Malkin, MD
• Kacey Lynn Malmgren, RN
• Meghan Maloney
• Lisa Manfra

• Periodontics in Natick, MA
• Providers in Natick, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.