Provider Demographics
NPI:1265682447
Name:NOOR, RASHID A (DMD)
Entity Type:Individual
Prefix:DR
First Name:RASHID
Middle Name:A
Last Name:NOOR
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 1:90 ORNE ST
Mailing Address - Street 2:
Mailing Address - City:N ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-6328
Mailing Address - Country:US
Mailing Address - Phone:508-695-1903
Mailing Address - Fax:508-699-5913
Practice Address - Street 1:90 ORNE ST
Practice Address - Street 2:
Practice Address - City:N ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-6328
Practice Address - Country:US
Practice Address - Phone:508-695-1903
Practice Address - Fax:508-699-5913
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18506122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX11149OtherBLUE CROSS BLUE SHIELD OF MA
MA8009-3OtherBLUE CROSS BLUE SHIELD OF RI
MA6934770001Medicare NSC