Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOHAMED ALI BOUKHEIR, DMD
Active Sole ProprietorMOHAMED ALI BOUKHEIR, DMD is a Oral & Maxillofacial Surgery healthcare provider located in MADISON, New Jersey. NPI 1518351964 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MADISON, NJ
Registration Details
- NPI Number
- 1518351964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2015 (11.383109031303 yrs)
- Last Updated
- Mar 16, 2020
- Licenses
-
019030599 (IL)22DI02778000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
268 MAIN STMADISON, NJ, 079402269Browse NJ providers · Browse ZIP 07940
- Phone
- 9738228003
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.