Omni Dentix & Assoc.

LBN: Omni Dentix & Assoc.
Omni Dentix & Assoc. is an health care organization with primary practice located at 3850 Mystic Valley Pkwy Suite 20, Medford MA 02155-6901. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Omni Dentix & Assoc. can be contacted via phone (781) 396-6613, or through Mobasherat, Mohammed E via phone (781) 396-6613.

Contact Information

Primary practice address
3850 Mystic Valley Pkwy Suite 20 Medford MA 02155-6901
Phone: (781) 396-6613
Fax: (781) 395-4292
Website:
Map and Directions
Authorized official contact:
Name: Mobasherat, Mohammed E D.M.D, D.D.S.,
Phone: (781) 396-6613

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20309 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 15376 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 13913 Massachusetts

Profile Details

NPI number 1104088491
LBN Legal business name Omni Dentix & Assoc.
DBA Doing business as
Authorized official Mobasherat, Mohammed E D.M.D, D.D.S.,
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104088491 NPPES
Massachusetts MEDICAID 0263702
Massachusetts MEDICAID 0205401
Massachusetts MEDICAID 0268361

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