Provider Demographics
NPI:1730564006
Name:BHATT, MAHIT HARSHAD (DMD)
Entity type:Individual
Prefix:
First Name:MAHIT
Middle Name:HARSHAD
Last Name:BHATT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E NEWTON ST
Mailing Address - Street 2:APT # 304
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4802
Mailing Address - Country:US
Mailing Address - Phone:425-221-4341
Mailing Address - Fax:
Practice Address - Street 1:90 RIVER ST
Practice Address - Street 2:CHILDREN & FAMILY DENTISTRY OF MATTAPAN
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2975
Practice Address - Country:US
Practice Address - Phone:617-698-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856981122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist