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WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY NPI 1417399270


NPI Information

NPI: 1417399270
Provider Name: WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
792SOUTH MAIN ST
24
MANSFIELD, MA
ZIP 02048
Phone: (508) 339-4171
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WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY is a preferred provider organization in Mansfield, MA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY NPI is 1417399270. The provider is registered as an organization entity type.

The provider's business location address is:

792SOUTH MAIN ST
24
MANSFIELD, MA
ZIP 02048-137
Phone: (508) 339-4171
Fax: (508) 339-8311

The provider's authorized official is Wahid Mistikawi .
The authorized official title is Dentist and has the following contact phone number (508) 339-4171.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 7/22/2013.


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
1305R00000XPreferred Provider OrganizationDN17639MASSACHUSETTSYes

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: 11/14/2023

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