Mario E Abdennour is a Endodontics in Boston, Massachusetts. Mario E Abdennour practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Mario E Abdennour is 1689749574. The last update date is 2007-10-17.
Mario E Abdennour's current location address is 188 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 9785051969 and fax number 9786886465. The mailing address for Mario E Abdennour is 188 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario E Abdennour |
|---|---|
| Address | 188 Longwood Ave, Boston, Massachusetts |
| Phone Number | 9785051969 |
| Fax Number | 9786886465 |
| Sole Proprietor | N |
| Credentials | DMD MMSC |
NPI Number Detail
| NPI Number | 1689749574 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 188 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2115 |
| Phone Number | 9785051969 |
| Fax Number | 9786886465 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 19242 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X11812 | MA | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mario E Abdennour by the Centers for Medicare & Medicaid Services?
The Mario E Abdennour has been assigned the NPI (National Provider Identifier) 1689749574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mario E Abdennour's facilities are geographically located?
The facilities of Mario E Abdennour are physically situated at the following location: 188 Longwood Ave, Boston, MA, 2115.
What is the Mario E Abdennour's area of specialization and corresponding taxonomy classification?
The Mario E Abdennour's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1689749574 to Mario E Abdennour?
The Mario E Abdennour received its 1689749574 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.
As of what date were the Mario E Abdennour's details last updated?
The information pertaining to the Mario E Abdennour, including its address, specialty, and other details, was most recently updated on 2007-10-17.