Provider Demographics
NPI:1841213113
Name:DEHNI, WALID J (DMD)
Entity Type:Individual
Prefix:DR
First Name:WALID
Middle Name:J
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 1:50 SALEM ST
Mailing Address - Street 2:BLD A
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2622
Mailing Address - Country:US
Mailing Address - Phone:781-246-2211
Mailing Address - Fax:781-246-5566
Practice Address - Street 1:50 SALEM ST
Practice Address - Street 2:BLD A
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2622
Practice Address - Country:US
Practice Address - Phone:781-246-2211
Practice Address - Fax:781-246-5566
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA185541223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics