Khaled Mohamed Asaad, BDS | |
45 Dimock St, Roxbury, MA 02119-1208 | |
(617) 442-8800 | |
(617) 541-0950 |
Full Name | Khaled Mohamed Asaad |
---|---|
Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 45 Dimock St, Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295296671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DL14498 (Massachusetts) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | DL15167 (Massachusetts) | Primary |
Entity Name | Dimock Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242 |
Mailing Address | Practice Location Address |
---|---|
Khaled Mohamed Asaad, BDS 55 Dimock St, Roxbury, MA 02119-1029 Ph: (312) 504-8480 | Khaled Mohamed Asaad, BDS 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800 |
Susana Tejada, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-442-4088 | |
Kathryn Stahlhuth Holthaus, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, Roxbury, MA 02119 Phone: 617-606-3049 | |
Shaina Immaculee Henriquez, Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950 | |
Dr. Paritosh Amburle, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200 | |
Joyce S Gitangu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, 101, Roxbury, MA 02119 Phone: 617-427-5665 | |
Anna Pietrantoni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200 | |
Shireen Khan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950 |