Provider Demographics
NPI:1003588617
Name:ABUGAD, AHMED MOHAMED A MOHAMED (DMD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:MOHAMED A MOHAMED
Last Name:ABUGAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 RANGEWAY RD UNIT 3204
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2042
Mailing Address - Country:US
Mailing Address - Phone:202-689-7372
Mailing Address - Fax:
Practice Address - Street 1:18 WESTFORD ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1506
Practice Address - Country:US
Practice Address - Phone:978-369-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859216122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist