Provider Demographics
NPI:1255448551
Name:ELKADRY, NOHA ANAN (DMD)
Entity type:Individual
Prefix:DR
First Name:NOHA
Middle Name:ANAN
Last Name:ELKADRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CONVERSE PLACE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890
Mailing Address - Country:US
Mailing Address - Phone:781-729-4644
Mailing Address - Fax:781-729-0581
Practice Address - Street 1:10 CONVERSE PLACE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-729-4644
Practice Address - Fax:781-729-4644
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA186231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics