Active NPIIndividual provider

Maryam Mohammadvali Samani, DMD

Dentist, Endodontics in Mansfield, Massachusetts

NPI Number1013427285
Practice location
292 Chauncy St # 150, Mansfield, MA 02048-1203
Fax
—
Last updated
April 16, 2023

Maryam Mohammadvali Samani is a Dentist, Endodontics based in Mansfield, MA. Maryam Mohammadvali Samani practices in Mansfield, MA and has the professional credentials of DMD. The NPI Number for Maryam Mohammadvali Samani is 1013427285 and holds a License No. 1857760 (MA). The current practice location address for Maryam Mohammadvali Samani is 292 Chauncy St # 150, Mansfield, MA 02048-1203 and can be reached out via phone at 508-406-9592.

Provider Profile Details

NPI Number
1013427285
Provider Name
Maryam Mohammadvali Samani
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
292 Chauncy St # 150, Mansfield, MA 02048-1203
Phone Number
508-406-9592
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2017
Last Update Date
April 16, 2023
Certification Date
April 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
292 Chauncy St # 150
Mansfield, MA 02048-1203
Zip
02048-1203
Phone Number
508-406-9592
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
5 Lakeshore Ctr Unit 1251
Bridgewater, MA 02324-1084
City
Bridgewater
State
MA
Zip
02324-1084
Phone Number
617-909-2300

License Information

License Number (1)
1857760
License State (1)
MA
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
DN1857760
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
DN1857760
License State (3)
MA
Taxonomy (3)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryam Mohammadvali Samani, DMD?

The NPI number of Maryam Mohammadvali Samani, DMD is 1013427285. It was assigned on October 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Maryam Mohammadvali Samani, DMD?

Maryam Mohammadvali Samani, DMD is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number 1857760.

Where does Maryam Mohammadvali Samani, DMD practice?

The practice location is 292 Chauncy St # 150, Mansfield, MA 02048-1203. The office can be reached at 508-406-9592 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013427285 directly on the NPPES registry website.

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