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BAY STATE DENTAL SPECIALISTS PC
NPI 1124135439
Dentist - Periodontics in Winchester, MA

Active since August 23, 2006
10 CONVERSE PLACE, 4TH FLOOR, WINCHESTER, MA 01890(781) 727-4644(781) 729-0581 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bay State Dental Specialists Pc NPPES

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

BAY STATE DENTAL SPECIALISTS PC (NPI 1124135439) is a healthcare organization registered as a periodontics in Winchester, Massachusetts and active in the NPI registry since August 2006. The organization lists Noha Anan Elkadry, President, as its authorized official.

NPPES Registry Identity

NPI1124135439
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBAY STATE DENTAL SPECIALISTS PC
Location Address10 CONVERSE PLACE, 4TH FLOORWinchester, MA 01890
Mailing Address10 Converse Place, 4th FloorWinchester, MA 01890 · (781) 727-4644 · Fax (781) 729-0581
Phone(781) 727-4644
Fax(781) 729-0581
Organization SubpartNo
Authorized OfficialNoha Anan ElkadryPresident · (781) 729-4644
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 29, 2007
✔ NPI 1124135439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 18623
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
10 CONVERSE PLACE, Winchester, MA 01890
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. NOHA ANAN ELKADRY DMD
Dentist (Periodontics)
10 CONVERSE PLACE, 4TH FLOOR
WINCHESTER, MA 01890
Middlesex County (781) 729-4644
MS. SUSAN MARCIA KRAUT MDW LICSW
Social Worker (Clinical)
10 CONVERSE PLACE
WINCHESTER, MA 01890
Middlesex County (781) 729-2548
DR. LIESCHEN MCGARRY DC
Chiropractor
10 CONVERSE PLACE, 3RD FLOOR
WINCHESTER, MA 01890
Middlesex County (781) 721-3336

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 Bay State Dental Specialists PC's NPI number?

The NPI number for Bay State Dental Specialists PC is 1124135439. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Bay State Dental Specialists PC located?

Bay State Dental Specialists PC is located at 10 Converse Place 4th Floor, Winchester, MA 01890. The listed phone number is (781) 727-4644.

What is Bay State Dental Specialists PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bay State Dental Specialists PC was last updated on August 29, 2007. 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.