Organization
EKBAL H. ELKADRY, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKBAL H ELKADRY D.M.D. (PRESIDENT)
(617) 472-3919
Entity
Organization
Contact information
Practice address
1372 HANCOCK ST, UNIT #101, QUINCY, MA 02169-5107
(617) 472-3919
(617) 770-2329
Mailing address
1372 HANCOCK ST, UNIT #101, QUINCY, MA 02169-5107
(617) 472-3919
(617) 770-2329
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9719091
—
MA
01
—
X11370
BLUE CROSS & BLUE SHEILD
MA
Enumeration date
11/16/2006
Last updated
09/11/2025
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