Provider Demographics
NPI:1891384814
Name:ASHLAND FAMILY & IMPLANT DENTISTRY
Entity Type:Organization
Organization Name:ASHLAND FAMILY & IMPLANT DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMAAWI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-859-4276
Mailing Address - Street 1:163 BAY DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1958
Mailing Address - Country:US
Mailing Address - Phone:203-859-4276
Mailing Address - Fax:
Practice Address - Street 1:37 MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1104
Practice Address - Country:US
Practice Address - Phone:508-881-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty