OrganizationActive
Daniel Moheban DMD PC
NPI 1114247301 · Health Maintenance Organization · Worcester, MA
Provider details
- NPI number
- 1114247301
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Daniel Moheban, Owner(508) 756-6264
- License
- 20965 (MA)
Specialties & taxonomies
Managed Care Organizations
Practice location
200 Lincoln Street
Worcester, MA 01605
Phone: (508) 756-6264
Fax: (508) 756-6490
Approximate (ZIP-level) locationGet directions
Mailing address
200 Lincoln St
Worcester, MA 01605-2528
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.