Dr Mohammed Moeeduddin Ahmed, BDS, MDS | |
61 Pine St, Bristol, VT 05443-1043 | |
(802) 453-3911 | |
Not Available |
Full Name | Dr Mohammed Moeeduddin Ahmed |
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Gender | Male |
Speciality | Dentist |
Location | 61 Pine St, Bristol, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871223792 | NPI | - | NPPES |
6710467 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X2210X | Dentist - Orofacial Pain | 019.0134053 (Vermont) | Secondary |
122300000X | Dentist | 019.0134053 (Vermont) | Primary |
Entity Name | Five-town Health Alliance, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871840843 PECOS PAC ID: 9638321342 Enrollment ID: O20121204000030 |
Mailing Address | Practice Location Address |
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Dr Mohammed Moeeduddin Ahmed, BDS, MDS 26 Greenwich St, Boston, MA 02120-2202 Ph: (331) 980-2703 | Dr Mohammed Moeeduddin Ahmed, BDS, MDS 61 Pine St, Bristol, VT 05443-1043 Ph: (802) 453-3911 |
Dr. James K Cossaart, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7700 | |
Dr. Farid Hamidzadeh, D.M.D, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7700 | |
Dr. Mary Colleen Anderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 61 Pine St, Bristol, VT 05443 Phone: 802-453-3911 | |
Dr. Dolava Teerdha Pati, BDS DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7700 | |
Elizabeth Knuff, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 61 Pine St Ste 400, Bristol, VT 05443 Phone: 203-859-2211 |