WABAN DENTAL SPECIALIST GROUP
NPI 1356989446
Clinic/Center - Dental in Waban, MA

Active since December 19, 2019
1180 BEACON STREET, WABAN, MA 02461(617) 527-6061 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Dec 19, 2019 (2 updates tracked since 2019).

About Waban Dental Specialist Group NPPES

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

WABAN DENTAL SPECIALIST GROUP (NPI 1356989446), doing business as Waban Dental Group, is a healthcare organization registered as a dental in Waban, Massachusetts and active in the NPI registry since December 2019. The organization lists Alaaeddin Alwazzan, President, as its authorized official.

NPPES Registry Identity

NPI1356989446
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWABAN DENTAL SPECIALIST GROUP
Location Address1180 BEACON STREETWaban, MA 02461
Mailing Address1180 Beacon StreetWaban, MA 02461
Organization SubpartNo
Authorized OfficialAlaaeddin AlwazzanPresident · (781) 894-0347
Enumeration DateDecember 19, 2019
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2019
NPI 1356989446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1180 BEACON STREET, Waban, MA 02461

Other Names 1

Doing Business AsWaban Dental Group

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1180 BEACON STREET
NEWTON, MA 02461

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 Waban Dental Specialist Group's NPI number?

The NPI number for Waban Dental Specialist Group is 1356989446. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Waban Dental Group.

Where is Waban Dental Specialist Group located?

Waban Dental Specialist Group is located at 1180 Beacon Street, Waban, MA 02461. The listed phone number is (617) 527-6061.

What is Waban Dental Specialist Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Waban Dental Specialist Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.