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DR. MARIO E ABDENNOUR DMD MMSC
NPI 1689749574
Dentist - Endodontics in Boston, MA

Active since November 24, 2006PECOS Enrolled
188 LONGWOOD AVE, BOSTON, MA 02115(978) 505-1969(978) 688-6465 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mario E Abdennour Dmd Mmsc NPPES

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

DR. MARIO E ABDENNOUR DMD MMSC (NPI 1689749574) is an individual endodontics provider in Boston, Massachusetts, licensed in Massachusetts (19242) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689749574
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MARIO E ABDENNOURCredential: DMD MMSC
Location Address188 LONGWOOD AVEBoston, MA 02115
Mailing Address75 Thistle RdNorth Andover, MA 01845-4745
Phone(978) 505-1969
Fax(978) 688-6465
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1689749574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in MA · 19242✔ Licensed in NH · 3244
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
188 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Other Identifiers 1

OtherX11812MA · Blue Cross & Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario E Abdennour Dmd Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NICHA TOKAVANICH DDS
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1434
DR. MIN JEONG DDS
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1434
DR. TIEN MONG HA-NGOC JIANG DMD, MED
Dentist (Prosthodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1434
DR. JARSHEN LIN DDS
Dentist (Endodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-3966
SIMON DOLIVEUX
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1434
DR. ARJUN SAGGU DMD
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (310) 601-0411
RITA K HAN D.D.S.
Dentist (Prosthodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1790
YE WON CHO DMD, DMSC
Dentist (Periodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 432-1434

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 Mario Abdennour's NPI number?

The NPI number for Mario Abdennour is 1689749574. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Mario Abdennour located?

Mario Abdennour practices at 188 Longwood Ave, Boston, MA 02115. The listed phone number is (978) 505-1969.

What is Mario Abdennour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Mario Abdennour enrolled in Medicare?

Yes. Mario Abdennour is registered in the Medicare PECOS enrollment system.

What insurance does Mario Abdennour accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Mario Abdennour 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 Mario Abdennour was last updated on October 17, 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.