Mario George Aboujaoude, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19220 Issued in MA

Practice address

1141 South St
Fitchburg, MA 01420-7029

Phone

(978) 342-5313

Fax

(978) 345-3518

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Arts Center, P. C.

  • Dentist
  • Fitchburg, MA
  • NPI 1427130764
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1962597237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207029",
            "telephone_number": "978-342-5313",
            "fax_number": "978-345-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUJAOUDE",
        "first_name": "MARIO",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1199 John Fitch Highway Operator, LLC
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• Jennifer Noelle Abazorius, RN
• Gretchen Giselle Acevedo
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• Lynsie Rae Adams, NP
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• Francesca Maame Esi Afoko

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.