MAHMOUD EL HADIDY, DMD, PHD, PC (NPI# 1265568174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265568174 |
| Entity Type | Organization |
| Organization Name | MAHMOUD EL HADIDY, DMD, PHD, PC |
| Other Organization Name | BACK BAY ORAL& MAXILLOFACIAL SURGERY |
| Practice Address |
311 Commonwealth Ave Suite 10 Boston MA 02115-1926 |
| Practice Telephone | 6172674777 |
| Practice Fax Number | 6172671277 |
| Mailing Telephone | 6172674777 |
| Mailing Fax Number | 6172671277 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAHMOUD A EL HADIDY (PRESIDENT) |
| Authorized Official Telephone | 6172674777 |
| Authorized Official Credential | DMD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
19353 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Back Bay Oral& Maxillofacial Surgery | Doing Business As Name - Organization |
| Street Address |
311 COMMONWEALTH AVE SUITE 10 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306829510 | Mahmoud A El Hadidy | Dentist | 311 Commonwealth Ave, Suite 10, Boston, MA 02115-1926 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801046438 | Boston Oral and Facial Surgery, LLC | Clinic/Center | 120 Lincoln St, Boston, MA 02111-2506 | 2008-09-18 |
| 1144509209 | Massachusetts General Hospital Oral & Maxillofacial Surgery | Clinic/Center | 55 Fruit St, Wang Ambulatory Building Suite 230, Boston, MA 02114-2621 | 2011-08-08 |
| 1366690554 | Tony Woo, Dds | Clinic/Center | 750 Washington St, Boston, MA 02111-1526 | 2008-09-03 |
| 1174542013 | Franciscan Hospital for Children, Inc. | Clinic/Center | 30 Warren St, Boston, MA 02135-3602 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407214 | Wellesley Oral Surgery and Implant Center, Pllc | Clinic/Center | 486 Washington St, Wellesley, MA 02482-5971 | 2019-10-03 |
| 1972949279 | Weymouth Oral and Maxillofacial Surgery, PC | Clinic/Center | 851 Main St, Suite #20, Weymouth, MA 02190-1612 | 2013-05-14 |
| 1487950499 | R.l. Sullivan, D.d.s. Inc. | Clinic/Center | 40 Church St, Ware, MA 01082-1234 | 2011-02-09 |
| 1568788396 | Wayland Oral Surgery, P.C. | Clinic/Center | 241 Boston Post Rd, Suite 2, Wayland, MA 01778-1836 | 2010-04-19 |
| 1285877696 | New England Oral Surgery Associates | Clinic/Center | 2 Andover Road, Billerica, MA 01821 | 2009-04-15 |
| 1861665390 | Armory Dental Implant & Oral Surgery | Clinic/Center | 92 High St, Dh26, Medford, MA 02155-3850 | 2008-04-04 |
| 1245429851 | James E. Royer, D.m.d., PC | Clinic/Center | 1010 Gar Hwy, Swansea, MA 02777-4566 | 2007-10-19 |
Please comment or provide details below to improve the information on MAHMOUD EL HADIDY, DMD, PHD, PC.
| 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.