Individual ProviderShadi Mohammed AlghamdiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Tufts University School Of Dental Medicine, Boston, MA 02111(617) 636-6828PECOS EnrollmentBased on the most recent information from CMS, provider Shadi Mohammed Alghamdi 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 6 days ago.Profile DetailsProvider ID1770220543Provider TypeIndividualFull NameAlghamdi, Shadi MohammedTitleMr.CredentialB.D.S.GenderMaleSole ProprietorNoEnumeration Date5/13/2022Last Updated2/9/2023Contact InformationPractice LocationPractice Address1 Kneeland St, Tufts University School Of Dental Medicine, Boston, MA 02111Phone(617) 636-6828Fax(617) 636-6809Mailing LocationMailing Address1 Kneeland St, Tufts University School Of Dental Medicine, Boston, MA 02111Phone(617) 636-6828Fax(617) 636-6809Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer