National Provider Identifier Database

WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
792SOUTH MAIN ST
24
MANSFIELD, MA02048-3137
Phone: 508-339-4171
Fax: 508-339-8311
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY

NPI Number 1417399270
Legal business name
LBN
WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
Authorized official WAHID MISTIKAWI - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 07/22/2013
Last updated 07/22/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: DN17639

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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