Provider Demographics
NPI:1417166430
Name:DRS. ALI AND ALI, PC
Entity Type:Organization
Organization Name:DRS. ALI AND ALI, PC
Other - Org Name:WELLESLEY DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FEMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-237-9071
Mailing Address - Street 1:5 SEAWARD RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-7510
Mailing Address - Country:US
Mailing Address - Phone:781-237-9071
Mailing Address - Fax:
Practice Address - Street 1:5 SEAWARD RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-7510
Practice Address - Country:US
Practice Address - Phone:781-237-9071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X11612OtherBLUE CROSS BLUE SHIELD