Provider Demographics
NPI:1053428391
Name:NAJIM, MAYADA (DMD)
Entity type:Individual
Prefix:MS
First Name:MAYADA
Middle Name:
Last Name:NAJIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 GREAT RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2715
Mailing Address - Country:US
Mailing Address - Phone:781-275-6349
Mailing Address - Fax:781-275-8406
Practice Address - Street 1:143 GREAT RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01830
Practice Address - Country:US
Practice Address - Phone:781-275-6349
Practice Address - Fax:781-275-8406
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice