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Active NPI 1891718961 Individual Practitioner Male Practitioner

Dr. Daniel B Moheban , DMD

Dentist - Pediatric Dentistry • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Moheban, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Worcester, MA. Practice services are available at 200 LINCOLN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Lincoln St
Suite 5

Worcester, MA 016052528

Telephone 5087566264
Fax 5087566490
Associated Practice Facility / Clinic
🏢 Richard A Haas, Md Facility NPI 1548269806

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Worcester, MA (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MA 20965

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Manouch Darvish , DMD

Dentist - Pediatric Dentistry

NPI 1265540090

Doctor of Dental Medicine

Dr. F Gallagher , DMD

Dentist - Pediatric Dentistry

NPI 1306922042

Doctor of Dental Medicine

Dr. Kyong-Won Kong , DDS

Dentist - Pediatric Dentistry

NPI 1891872248

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 08, 2018

Registered at 200 LINCOLN ST, SUITE 5, WORCESTER, MA 016052528 (Tel: 5087566264)

📍
Updated Business Mailing Address June 08, 2018

Registered at 200 LINCOLN ST, SUITE 5, WORCESTER, MA 016052528 (Tel: 5087566264)

NPI Profile Active February 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2014

Registered at 200 LINCOLN ST, WORCESTER, MA 016052528 (Tel: 5087566264)

📍
Updated Business Mailing Address February 18, 2014

Registered at 26 FOREST HILL RD, WAYLAND, MA 017783205 (Tel: 6717770204)

👤
Provider Name / Credentials Updated February 18, 2014

Recorded as DANIEL MOHEBAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2014

Dentist (License #20965 in MA)

🟢
Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891718961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: June 08, 2018
Sole Proprietor: No

Mailing Address

200 Lincoln St, Suite 5

Worcester, MA 016052528

Phone: 5087566264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.