MUSTAFA ZAKKOOM (NPI# 1952715591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952715591 |
| Entity Type | Individual |
| Full Name | MUSTAFA ZAKKOOM |
| Practice Address |
1096 Revere Beach Pkwy Chelsea MA 02150-1454 |
| Mailing Address |
232 Union St Lynn MA 01901-1315 |
| Practice Telephone | 2488244916 |
| Mailing Telephone | 2488244916 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901021277 | MI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1856872 | MA | Dental Providers |
| Street Address |
1096 REVERE BEACH PKWY |
| City | CHELSEA |
| State | MA |
| Zip Code | 02150-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811084387 | Kool Smiles Mac, PC | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150 | 2006-10-06 |
| 1083275689 | Tabitha Lindita Lewis | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2019-06-25 |
| 1659866135 | Vivian Barron | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2018-06-26 |
| 1902313646 | Dr Miriam Chung Dds PC | Clinic/Center | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2018-01-03 |
| 1942539614 | Norma P Herrera | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2009-12-09 |
| 1255537544 | Nadia Bassam Bashour Bunn | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2007-06-22 |
| 1255533212 | Siama I Muhammad | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2007-06-01 |
| 1114004165 | Joanne Tsagas | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150-1454 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540020 | Freyre Figueroa | Counselor | 324 Broadway Apt # Broadway, Chelsea, MA 02150 | 2020-02-18 |
| 1255816740 | Alexander Tsonas | Social Worker | Seaport Academy, 285 Commandants Way, Chelsea, MA 02150 | 2018-10-01 |
| 1669969069 | Kimberly Huffer | Social Worker | 17 Tudor St, Chelsea, MA 02150 | 2018-04-20 |
| 1518468099 | Gladys G. Carrasco Roman | Dentist | 180 Walnut Street, Chelsea, MA 02150 | 2018-02-21 |
| 1700238557 | Healing Hands | Foster Care Agency | 45 Gillooly Road, Chelsea, MASSACHUSETTS (MA) 02150 | 2016-07-05 |
| 1932577293 | Ashlie Lynn | Physical Therapy Assistant | 255 Central Avenue, Chelsea, MA 02150 | 2015-09-03 |
| 1720464043 | Kali Stewart | Dentist | 950 Broadway Apt 1c, Chelsea, MA 02150 | 2015-08-10 |
| 1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
| 1265856066 | Aftercare Services, Inc | Home Health | 125-135 Library St., Chelsea, MA 02150 | 2014-02-13 |
| 1003164732 | Michele Carmi | Social Worker | 310 Brodway, Chelsea, MA 02150 | 2012-08-28 |
| Find all providers in zip 02150 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295105245 | Yeun-joung Park | Dentist | 100 Everett Ave Ste 5, Chelsea, MA 02150-2328 | 2015-10-03 |
| 1457629198 | Ryan A Draiss Dmd LLC | Dentist | 407 Chelsea Crossroads, Chelsea, AL 35043-3901 | 2011-12-08 |
| 1992827885 | Chelsea Family Dentistry, PC | Dentist | 300 Jade Park, Ste 302, Chelsea, AL 35043 | 2007-04-04 |
| 1790803997 | Robert Baskies D.m.d. PC | Dentist | 109 Washington Ave, Chelsea, MA 02150-3923 | 2007-03-26 |
| 1861535650 | Dwight Stanley | Dentist | Dental Health Int, 100 Everett Ave Unit 5, Chelsea, MA 02150 | 2007-02-14 |
| 1588716278 | Tran Dental Care, Inc | Dentist | 279 Broadway, Chelsea, MA 02150-2807 | 2007-01-16 |
| 1558425488 | Kelly Ann Scherr | Dentist | 901 Taylor St, Suite A, Chelsea, MI 48118-2301 | 2006-12-22 |
| 1871669812 | Yuanfu Shek | Dentist | 1100 Revere Beach Pkwy, Chelsea, MA 02150-1456 | 2006-11-28 |
| 1346315025 | Keith L Davis | Dentist | 100 Chelsea Corners Way Ste 113, Chelsea, AL 35043-8207 | 2006-11-21 |
| 1073536462 | Affordable Family Dental | Dentist | 59 Washington Ave, Chelsea, MA 02150 | 2006-07-26 |
| Find all providers in CHELSEA | ||||
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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.