Organization · Type 2 NPI

Wahid Mistikawi dba Greatwoods Family Dentistry

Preferred Provider Organization · Mansfield, MA

NPI number 1417399270 Active

Practice location

792SOUTH Main St, 24
Mansfield, MA 02048-3137

Fax (508) 339-8311

Mailing address

792 S Main St
Mansfield, MA 02048-3137

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000XDN17639 (MA)

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.

About NPI 1417399270

Wahid Mistikawi dba Greatwoods Family Dentistry's National Provider Identifier is 1417399270, issued on Jul 22, 2013. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Mansfield, MA. The record was last updated on Jul 22, 2013.