IndividualActive
Abdullah Othman
NPI 1801279740 · Periodontics · Waltham, MA
Provider details
- NPI number
- 1801279740
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN1858871 (MA)
Mailing address
879 Main St
Waltham, MA 02451-7414
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2021-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.