Healthcare Provider Details

I. General information

NPI: 1386789568
Provider Name (Legal Business Name): MICHAEL OFIR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E MAIN ST
NORTON MA
02766-2310
US

IV. Provider business mailing address

150 E MAIN ST
NORTON MA
02766-2310
US

V. Phone/Fax

Practice location:
  • Phone: 508-285-7763
  • Fax:
Mailing address:
  • Phone: 508-285-7763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number21072
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: