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: July 19, 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
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

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.

Chiropractor
10 CONVERSE PLACE, 3RD FLOOR
WINCHESTER, MA 01890
Social Worker (Clinical)
10 CONVERSE PLACE
WINCHESTER, MA 01890
Dentist (Periodontics)
10 CONVERSE PLACE, 4TH FLOOR
WINCHESTER, MA 01890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124135439, enumerated as an "organization" on August 23, 2006.

The provider is located at 10 CONVERSE PLACE 4TH FLOOR WINCHESTER, MA 01890 and the phone number is (781) 727-4644.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.