MOHAMED ALI BOUKHEIR (NPI# 1518351964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518351964 |
| Entity Type | Individual |
| Full Name | MOHAMED ALI BOUKHEIR |
| Credential | DMD |
| Practice Address |
268 Main St Madison NJ 07940-2269 |
| Practice Telephone | 9738228003 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019030599 | IL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02778000 | NJ | Dental Providers |
| Street Address |
268 MAIN ST |
| City | MADISON |
| State | NJ |
| Zip Code | 07940-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356653 | Jenny Lau | Dentist | 268 Main St, Madison, NJ 07940-2269 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1578919825 | Michelle Solino | Counselor | 135 Green Ave, Madison, NJ 07940 | 2016-05-05 |
| 1225400328 | Alexis Rahman | Nurse Practitioner | 5 Giralda Farms, Madison, NJ 07940 | 2015-10-28 |
| 1417208315 | Jared D Cooper | Physical Therapist | 20 Cook Plaza, Madison, NJ 07940 | 2012-10-02 |
| 1366779548 | Joanna M Smith | Social Worker | 57 Kings Road, Madison, NJ 07940 | 2009-11-10 |
| 1235377920 | Jenifer Harris Stein | Dietitian, Registered | 22 Keep Street, Madison, NJ 07940 | 2009-02-03 |
| 1629261763 | Professional Physical Therapy & Training, LLC | Clinic/Center | 111 Kings Road, Madison, NJ 07940 | 2007-08-22 |
| 1275757122 | Grace Counseling Center | Counselor | 16 Madison Avenue, Madison, NJ 07940 | 2007-04-12 |
| 1184742033 | Gloria T Paknis | Social Worker | 37 Kings Road, Madison, NJ 07940 | 2007-03-27 |
| Find all providers in zip 07940 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1720202153 | Stephen Charles Greer II Dmd | Dentist | 401 Baptist Drive, Suite 207, Madison, MS 39110 | 2007-04-13 |
| 1164599460 | David Franklin Butler | Dentist | 505 Cragmont St, Madison, IN 47250-3003 | 2006-11-29 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1891727152 | Karen S Ablow | Dentist | 145 Durham Road, Madison, CT 06443 | 2006-07-07 |
| 1851373625 | Jeffrey Scott Brown | Dentist | 106 Highland Way Ste 207, Madison, MS 39110-6930 | 2005-11-17 |
| 1700273208 | North Alabama Oral and Facial Surgery LLC | Dentist | 44 Hughes Rd, Madison, AL 35758-3045 | 2015-04-22 |
| 1174928709 | David F Butler, Dds | Dentist | 505 Cragmont St, Madison, IN 47250-3003 | 2014-10-24 |
| 1346576915 | Madison Oral and Facial Surgery, LLC | Dentist | 44 Hughes Rd, Suite 1500, Madison, AL 35758-2237 | 2009-11-02 |
| Find all providers in MADISON | ||||
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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.