ALAA ALWAZZAN DMD PC (NPI# 1710218425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710218425 |
| Entity Type | Organization |
| Organization Name | ALAA ALWAZZAN DMD PC |
| Practice Address |
580 Hancock St Quincy MA 02170-1909 |
| Practice Telephone | 6173285060 |
| Mailing Telephone | 6173285060 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | DR. ALAAEDDIN ALWAZZAN (DENTIST, PRESIDENT) |
| Authorized Official Telephone | 6173285060 |
| Authorized Official Credential | DMD, MSC, FACP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22162 | MA | Dental Providers |
| Street Address |
580 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02170-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542400 | Quincy Dental Specialists Group LLC | Dentist | 580 Hancock St, Quincy, MA 02170-1909 | 2019-08-09 |
| 1124313838 | Iyad Samir Awadallah | Dentist | 580 Hancock St, Quincy, MA 02170-1909 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123545 | Jennyfer Destin | Social Worker | 859 Willard Street, Quincy, MA 02170 | 2017-06-07 |
| 1154634848 | Christopher Le | Pharmacist | 343 Newport Ave, Quincy, MA 02170 | 2010-07-22 |
| 1528084902 | Patrick J. Dumont | Acupuncturist | 605 Hancock Street, Quincy, MA 02170 | 2006-07-15 |
| 1831640408 | Atlas Pharmahealth, Inc. | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2016-10-19 |
| 1578813143 | Medi-son Solutions, LLC | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2012-09-11 |
| 1194021790 | Scott J Rosner | Chiropractor | 605 Hancock Street, Quincy, MA 02170 | 2011-01-31 |
| 1902039357 | Wendy B Knight | Social Worker | 23 E Elm Ave, Quincy, MA 02170 | 2009-09-02 |
| 1689856882 | Loretta Delp | Developmental Therapist | 59 Farrington St, Quincy, MA 02170-1001 | 2007-11-29 |
| 1699280651 | Cindy Chen | Behavior Technician | 108 Farrington St, Quincy, MA 02170-1002 | 2017-12-12 |
| 1346782810 | Beverly L Moore | Health Educator | 157 Wilson Ave, Quincy, MA 02170-1037 | 2016-11-15 |
| Find all providers in zip 02170 | ||||
| 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 |
|---|---|---|---|---|
| 1558426064 | Parviz Sadooghi | Dentist | 500 Congress St Ste 2e, Quincy, MA 02169-0960 | 2006-12-26 |
| 1528359247 | Parvizsadooghi Dmd PC | Dentist | 500 Congress St, Suite 2e, Quincy, MA 02169-0908 | 2011-04-28 |
| 1144247792 | Nopsaran Chaimattayompol | Dentist | 500 Congress St, Suite 3e, Quincy, MA 02169-0908 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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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.