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EKBAL H. ELKADRY D.M.D. P.C. NPI 1083787055


NPI Information

NPI: 1083787055
Provider Name: EKBAL H. ELKADRY, D.M.D., P.C.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1372 HANCOCK ST
UNIT #101
QUINCY, MA
ZIP 02169
Phone: (617) 472-3919
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EKBAL H. ELKADRY, D.M.D., P.C. is a periodontics dentist in Quincy, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. EKBAL H. ELKADRY, D.M.D., P.C. NPI is 1083787055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1372 HANCOCK ST
UNIT #101
QUINCY, MA
ZIP 02169-107
Phone: (617) 472-3919
Fax: (617) 770-2329

The provider's authorized official is Ekbal H Elkadry .
The authorized official title is President and has the following contact phone number (617) 472-3919.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes
21223E0200XDentistEndodonticsX
31223X0400XDentistOrthodontics and Dentofacial OrthopedicsX
41223G0001XDentistGeneral PracticeX

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19719091MEDICAIDMASSACHUSETTS
2X11370OTHERMASSACHUSETTSBLUE CROSS & BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.