Healthcare Provider Details

I. General information

NPI: 1225478084
Provider Name (Legal Business Name): MEERA OHRI D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 WORCESTER RD SUITE 404
FRAMINGHAM MA
01701-5356
US

IV. Provider business mailing address

463 WORCESTER RD SUITE 404
FRAMINGHAM MA
01701-5356
US

V. Phone/Fax

Practice location:
  • Phone: 508-872-5555
  • Fax: 508-620-7939
Mailing address:
  • Phone: 508-872-5555
  • Fax: 508-620-7939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN14852
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: