Family And Laser Dentistry
Dentist in Bedford, MA. Organization (NPI-2).
NPI number1790951101
StatusActive
Last updated in NPPESMay 6, 2008
Details
- NPI
- 1790951101
- Entity type
- Organization (NPI-2)
- Legal business name
- Family And Laser Dentistry
- Organization subpart
- No
- Enumeration date
- May 6, 2008
- Last updated
- May 6, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | MN0655223C | MA | Yes |
Practice location
143 Great RdBedford, MA 01730-2715
Phone 781-275-6349 · Fax 781-275-8406
Mailing address
143 Great RdBedford, MA 01730-2715
Phone 781-275-6349 · Fax 781-275-8406
Authorized official
Mayada Najim
Dentist
7812756349
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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