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Mansour Moheban, D.M.D.
NPI 1679632467 · Periodontics · Northborough, MA
Mansour Moheban, D.M.D. is a Periodontics provider in Northborough, MA (NPI 1679632467).
Provider details
- NPI number
- 1679632467
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11905 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
154 Main St
Northborough, MA 01532-1930
Phone: (508) 393-2522
Fax: (508) 393-9782
Street-level locationGet directions
Mailing address
154 Main St
Northborough, MA 01532-1930
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2008-02-25
Frequently asked questions
- What is Mansour Moheban's NPI number?
- Mansour Moheban's National Provider Identifier (NPI) is 1679632467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mansour Moheban's specialty?
- Mansour Moheban is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Mansour Moheban located?
- Mansour Moheban's practice location on file with NPPES is 154 Main St, Northborough, MA 01532-1930.
- What is Mansour Moheban's phone number?
- The practice phone number listed in the NPPES registry for Mansour Moheban is (508) 393-2522.
- Is Mansour Moheban's NPI active?
- Yes — Mansour Moheban's NPI (1679632467) is active in the NPPES registry as of the last update on 2008-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.