Provider Demographics
NPI:1740447697
Name:EL-GHADI, MOFTAH (DMD)
Entity type:Individual
Prefix:DR
First Name:MOFTAH
Middle Name:
Last Name:EL-GHADI
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 1:32 HILLMAN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6613
Mailing Address - Country:US
Mailing Address - Phone:508-996-6777
Mailing Address - Fax:
Practice Address - Street 1:32 HILLMAN ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6613
Practice Address - Country:US
Practice Address - Phone:508-996-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA099791223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics