Provider Demographics
NPI:1326349150
Name:NEW CONCEPTS DENTAL GROUP
Entity Type:Organization
Organization Name:NEW CONCEPTS DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJED
Authorized Official - Middle Name:E
Authorized Official - Last Name:JARADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-663-7638
Mailing Address - Street 1:330 BOSTON ROAD
Mailing Address - Street 2:UNIT #16
Mailing Address - City:NO. BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862
Mailing Address - Country:US
Mailing Address - Phone:978-663-7638
Mailing Address - Fax:978-667-9856
Practice Address - Street 1:330 BOSTON ROAD
Practice Address - Street 2:UNIT #16
Practice Address - City:NO. BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862
Practice Address - Country:US
Practice Address - Phone:978-663-7638
Practice Address - Fax:978-667-9856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL ASSOCIATES OF LOWELL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty