Individual ProviderFahad HegaziStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland Street, 8th Floor, Tufts University School Of Dental Medicine, Boston, MA 02111(617) 636-3898PECOS EnrollmentBased on the most recent information from CMS, provider Fahad Hegazi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1053793380Provider TypeIndividualFull NameHegazi, FahadTitleDr.CredentialB.D.S.GenderMaleSole ProprietorNoEnumeration Date6/23/2015Last Updated1/20/2016Contact InformationPractice LocationPractice Address1 Kneeland Street, 8th Floor, Tufts University School Of Dental Medicine, Boston, MA 02111Phone(617) 636-3898FaxUnlisted FaxMailing LocationMailing Address1 Kneeland Street, 8th Floor, Tufts University School Of Dental Medicine, Boston, MA 02111Phone(617) 636-3898FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer