Healthcare Provider Details

I. General information

NPI: 1538007232
Provider Name (Legal Business Name): AB DENTAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 PARK ST STE 3
ANDOVER MA
01810-3694
US

IV. Provider business mailing address

339 LINDEN ST
WELLESLEY MA
02481-4940
US

V. Phone/Fax

Practice location:
  • Phone: 703-474-8788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD BARRA
Title or Position: OWNER
Credential: DMD
Phone: 703-474-8788