BASHAR GHOUJAL (NPI# 1922644996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922644996 |
| Entity Type | Individual |
| Full Name | BASHAR GHOUJAL |
| Practice Address |
635 Albany St Boston MA 02118 |
| Mailing Address |
39 Fenton St Unit 4 Boston MA 02122-2844 |
| Practice Telephone | 6173588777 |
| Mailing Telephone | 6464949133 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DF11481 | MA | Dental Providers |
| Street Address |
635 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063824464 | Maria Al Ismail | Dentist | 635 Albany St, Boston, MA 02118-2308 | 2014-05-20 |
| 1932709987 | Ruben Dario Martin Jr. | Denturist | 635 Albany St, Boston, MA 02118 | 2020-10-29 |
| 1275132086 | William Richards | Dentist | 635 Albany St, Boston, MA 02118 | 2020-10-22 |
| 1225676919 | Skylar Penberthy | Dentist | 635 Albany St, Boston, MA 02118-0211 | 2019-12-13 |
| 1699310185 | Hotoun Shuwaikan | Dentist | 635 Albany St, Bu Dental School, Boston, MA 02118-3552 | 2019-11-08 |
| 1164066742 | Noor Khouqeer | Dentist | 635 Albany St, Boston, MA 02118 | 2019-11-06 |
| 1659920395 | Sean Lee | Dentist | 635 Albany St, Boston, MA 02218 | 2019-09-05 |
| 1063067163 | Negar Harraji | Dentist | 635 Albany St, Boston, MA 02118 | 2019-08-06 |
| 1447812219 | Reem Akram Zuhairy | Student in an Organized Health Care Education/Training Program | 635 Albany St, Boston, MA 02118 | 2019-07-02 |
| 1760945224 | Tyler James Guinn | Dentist | 635 Albany St, Boston, MA 02118 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1295113355 | Mission Hill Dental Services | Dentist | 780 Boylston St Apt 3c, Boston, MA 02199-7802 | 2015-05-09 |
| 1528475613 | Smile Design Innovations | Dentist | Oral Design 11 Newbury Street, Smile Design Innovations, Boston, MA 02116 | 2014-07-21 |
| 1457762569 | Julie Ann Mitchell | Dentist | 175 Cambridge St Ste 310, Boston, MA 02114 | 2014-05-12 |
| 1629354964 | Irays Santamaria | Dentist | 396 Commonwealth Ave Ste 103a, Boston, MA 02215-2823 | 2011-11-01 |
| 1952695892 | Chaimongkon Peampring | Dentist | 315 Huntington Ave, #2b, Boston, MA 02115-4444 | 2011-06-08 |
| 1447494521 | Dong-soo Hong | Dentist | 9 Knapp St. #401, Boston, MA 02111 | 2009-04-21 |
| 1831340991 | Waleerat Kaweevisaltrakul | Dentist | 100 E Newton St # G219, Boston, MA 02118-2308 | 2008-10-08 |
| 1639329121 | Bader A Al-awadhi | Dentist | 130 Dartmouth Street #315, Boston, MA 02116 | 2008-09-22 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.