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General NPI Number Information
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NPI Number | 1083787055
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Entity Type | Organization
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Legal Business Name | EKBAL H. ELKADRY, D.M.D., P.C.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1372 HANCOCK ST UNIT #101
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City | QUINCY
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State | MA
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Zip | 02169-5107
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Country | US
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Telephone | 617-472-3919
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Fax | 617-770-2329
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Provider Business Mailing Address
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Address Line | 1372 HANCOCK ST UNIT #101
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City | QUINCY
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State | MA
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Zip | 02169-5107
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Country | US
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Telephone | 617-472-3919
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Fax | 617-770-2329
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EKBAL H ELKADRY
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Credential | D.M.D.
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Telephone | 617-472-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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