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Ehab Talal Azab, BDS

NPI 1629346051ActiveIndividual· Dentist, Periodontics· Boston, MA

Dentist, Periodontics (BDS) in Boston, Massachusetts, licensed in MA, with an NPI issued in December 2011.

Overview

NPI1629346051
StatusActive
Entity typeIndividual
CredentialBDS
Sole proprietorYes
NPI issuedDec 13, 2011
Last updated in NPPESDec 13, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300XDL11378MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other periodontists in Boston

All 164 periodontists in Boston · All periodontists in Massachusetts