Great Woods Family Dentistry
LBN: Great Woods Family Dentistry
Great Woods Family Dentistry is an health care organization with primary practice located at 792 S Main St Suite 24, Mansfield MA 02048-3137. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Great Woods Family Dentistry can be contacted via phone (508) 339-4171, or through Mistikawi, Wahid via phone (508) 339-4171.
Contact Information
Primary practice address
792 S Main St Suite 24
Mansfield MA 02048-3137
Phone: (508) 339-4171
Fax: (508) 339-4171
Website:
Authorized official contact:
Name: Mistikawi, Wahid Doctor of Dental Medicine (DMD)
Phone: (508) 339-4171
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN17639 | Massachusetts |
Profile Details
| NPI number | 1841670262 |
|---|---|
| LBN Legal business name | Great Woods Family Dentistry |
| DBA Doing business as | |
| Authorized official | Mistikawi, Wahid Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2015 |
| Last updated | Jun 1st, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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