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Shahram Moghaddam, DMD
General Practice Dentistry in Somerville, Massachusetts
NPI 1013048214

Shahram Moghaddam is a General Practice Dentistry based in Somerville, MA and is specialized in General Practice. Shahram Moghaddam practices in Somerville, MA and has the professional credentials of DMD. The NPI Number for Shahram Moghaddam is 1013048214 and holds a License No. 18767 (Massachusetts).

The current practice location address for Shahram Moghaddam is 396 Highland Ave, Somerville, MA and can be reached out via phone at 617-776-2323.

Location: 396 Highland Ave, Somerville, MA, 02144-2512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013048214
Provider Name
Shahram Moghaddam
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
396 Highland Ave, Somerville, MA, 02144-2512
Phone Number
617-776-2323
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0280925 05 MA
institution
Provider Business Practice Location Address Details
Address
396 Highland Ave
City
Somerville
State
Massachusetts
Zip
02144-2512
Phone Number
617-776-2323
Fax Number
person
Provider Business Mailing Address Details
Address
396 Highland Ave
City
Somerville
State
Massachusetts
Zip
02144-2512
Phone Number
617-776-2323
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
18767 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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