Healthcare Provider Details

I. General information

NPI: 1780514653
Provider Name (Legal Business Name): MICHAEL EL-HACHEM DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 WASHINGTON ST
DORCHESTER MA
02124-3510
US

IV. Provider business mailing address

537 TAYLOR ST
VERNON CT
06066-5315
US

V. Phone/Fax

Practice location:
  • Phone: 617-825-9660
  • Fax:
Mailing address:
  • Phone: 860-268-8104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: