Provider Demographics
NPI:1417846825
Name:NEW ENGLAND IMPLANT AND EXTRACTION CENTER
Entity type:Organization
Organization Name:NEW ENGLAND IMPLANT AND EXTRACTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSAC
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:857-247-2189
Mailing Address - Street 1:595 JERUSALEM RD
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025-1014
Mailing Address - Country:US
Mailing Address - Phone:857-247-2189
Mailing Address - Fax:
Practice Address - Street 1:36 BAY ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3003
Practice Address - Country:US
Practice Address - Phone:857-220-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty