Healthcare Provider Details

I. General information

NPI: 1043024367
Provider Name (Legal Business Name): MENG WEI ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WINNIE ZHANG

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WALL ST
ATTLEBORO MA
02703-2853
US

IV. Provider business mailing address

79 GAINSBOROUGH ST UNIT 101
BOSTON MA
02115-6517
US

V. Phone/Fax

Practice location:
  • Phone: 774-203-3757
  • Fax:
Mailing address:
  • Phone: 617-385-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10001356
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: