OrganizationActive
41 State Rd, LLC
NPI 1144701020 · Periodontics · North Dartmouth, MA
Provider details
- NPI number
- 1144701020
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Authorized official
- Mahmoud Hamad, Periodontist/Owner
- License
- DN1856413 (MA)
Practice location
1379 Tucker Road
North Dartmouth, MA 02747
Phone: (508) 993-9105
Fax: (508) 993-9115
Mailing address
1379 Tucker Road
North Dartmouth, MA 02747
Registry dates
- Enumerated
- 2018-08-28
- Last updated
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.