41 STATE RD LLC NPI 1144701020

NPI Information

  • NPI: 1144701020
  • Provider Name: 41 STATE RD, LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: DARTMOUTH PERIODONTICS AND IMPLANT DENTISTRY
  • Address: 1379 TUCKER ROAD
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Phone: (508) 993-9105

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NPI Details

41 STATE RD, LLC is a periodontics dentist in North Dartmouth, 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. 41 STATE RD, LLC NPI is 1144701020. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dartmouth Periodontics And Implant Dentistry.

The provider's business location address is:

1379 TUCKER ROAD
NORTH DARTMOUTH, MA
ZIP 02747
Phone: (508) 993-9105
Fax: (508) 993-9115

The provider's authorized official is Mahmoud Hamad .
The authorized official title is Periodontist/owner and has the following contact phone number (508) 993-9105.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 11/15/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsDN1856413MASSACHUSETTSYes

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: 3/30/2025

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