Provider Demographics
NPI:1629541321
Name:ORRIS DENTAL LLC
Entity Type:Organization
Organization Name:ORRIS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDAHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-270-6770
Mailing Address - Street 1:233 COCHITUATE RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4686
Mailing Address - Country:US
Mailing Address - Phone:508-270-6770
Mailing Address - Fax:
Practice Address - Street 1:233 COCHITUATE RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4686
Practice Address - Country:US
Practice Address - Phone:508-270-6770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental