Healthcare Provider Details

I. General information

NPI: 1578963740
Provider Name (Legal Business Name): NAEEL AHMED CAJEE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 09/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 LONGWOOD AVE
BOSTON MA
02115-5819
US

IV. Provider business mailing address

31 FAIRFIELD PARK
MANSFIELD MA
02048
US

V. Phone/Fax

Practice location:
  • Phone: 209-298-2402
  • Fax:
Mailing address:
  • Phone: 209-298-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1856722
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN1856722
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: