Provider Demographics
NPI:1437207057
Name:DEHNI, GHASSAN JAMIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:GHASSAN
Middle Name:JAMIL
Last Name:DEHNI
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 1:930 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6623
Mailing Address - Country:US
Mailing Address - Phone:508-996-3131
Mailing Address - Fax:508-997-3347
Practice Address - Street 1:930 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6623
Practice Address - Country:US
Practice Address - Phone:508-996-3131
Practice Address - Fax:508-997-3347
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics