Ashraf Abd-Elmeguid, BDS., PHD
Individual provider Active NPI Endodontics · Boston, MA
NPI 1992055776 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1992055776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DL11705 (MA)
- Practice address
- 100 East Newton St
Boston, MA 02118 - Phone
- (617) 638-6613
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL11705 | MA | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DL11705 | MA | Yes |
Addresses
Primary practice location
100 East Newton St
Boston, MA 02118
Mailing address
100 East Newton St
Boston, MA 02118
Phone (617) 638-6613
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. 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.