MR. ZAKI MICHAEL MUKDISSI DMD NPI 1023122637

NPI Information

MR. Zaki Michael Mukdissi, DMD is a general practice dentist in Canton, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Zaki Michael Mukdissi, DMD NPI is 1023122637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

95 WASHINGTON ST
SUITE 472
CANTON, MA
ZIP 02021-006
Phone: (781) 828-2600
Fax: (781) 828-2619

The NPI 1023122637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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