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OMNI DENTIX & ASSOC.
NPI 1104088491
Dentist - Pediatric Dentistry in Medford, MA

Active since June 27, 2008
3850 MYSTIC VALLEY PKWY, SUITE 20, MEDFORD, MA 02155(781) 396-6613(781) 395-4292 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omni Dentix & Assoc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI DENTIX & ASSOC. (NPI 1104088491) is a healthcare organization registered as a pediatric dentistry in Medford, Massachusetts and active in the NPI registry since June 2008. The organization lists Mohammed E Mobasherat, President, as its authorized official.

NPPES Registry Identity

NPI1104088491
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOMNI DENTIX & ASSOC.
Location Address3850 MYSTIC VALLEY PKWY, SUITE 20Medford, MA 02155-6901
Mailing Address3850 Mystic Valley Pkwy, Suite 20Medford, MA 02155-6901 · (781) 396-6613 · Fax (781) 395-4292
Phone(781) 396-6613
Fax(781) 395-4292
Organization SubpartNo
Authorized OfficialMohammed E MobasheratPresident · (781) 396-6613
Enumeration DateJune 27, 2008
✔ NPI 1104088491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · 15376
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 20309 (MA)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 13913 (MA)
3850 MYSTIC VALLEY PKWY, Medford, MA 02155
Open in Google Maps ↗

Other Identifiers 3

Medicaid0205401MA
Medicaid0263702MA
Medicaid0268361MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED E MOBASHERAT DMD MSCD
Dentist (General Practice)
3850 MYSTIC VALLEY PKWY, MEADOW GLEN MALL
MEDFORD, MA 02155
Middlesex County (781) 396-6613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Dentix & Assoc.'s NPI number?

The NPI number for Omni Dentix & Assoc. is 1104088491. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Omni Dentix & Assoc. located?

Omni Dentix & Assoc. is located at 3850 Mystic Valley Pkwy Suite 20, Medford, MA 02155. The listed phone number is (781) 396-6613.

What is Omni Dentix & Assoc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Omni Dentix & Assoc. accept?

Health plans from UnitedHealthcare list Omni Dentix & Assoc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omni Dentix & Assoc. was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.