Dr. Ava Ghassemi, DMD
Dentist, Pediatric Dentistry in Brookline, Massachusetts
1073139184- Practice location
- 209 Harvard St, Brookline, MA 02446-5071
- Phone
- 617-277-3127
- Fax
- —
- Last updated
- February 8, 2023
Ava Ghassemi is a Dentist, Pediatric Dentistry based in Brookline, MA. Ava Ghassemi practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Ava Ghassemi is 1073139184 and holds a License No. DN1859156 (MA). The current practice location address for Ava Ghassemi is 209 Harvard St, Brookline, MA 02446-5071 and can be reached out via phone at 617-277-3127.
Provider Profile Details
- NPI Number
- 1073139184
- Provider Name
- Ava Ghassemi
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 209 Harvard St, Brookline, MA 02446-5071
- Phone Number
- 617-277-3127
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Other Names
- Dr. Ava Ghassemi-Tary (Other Name)
- Provider Enumeration Date
- June 24, 2020
- Last Update Date
- February 8, 2023
- Certification Date
- February 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Harvard St
Brookline, MA 02446-5071 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-5071
- Phone Number
- 617-277-3127
Provider Business Mailing Address Details
- Address
- 1765 Centre St
West Roxbury, MA 02132-1535 - City
- West Roxbury
- State
- MA
- Zip
- 02132-1535
- Phone Number
- 617-327-4321
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN1859156
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Ava Ghassemi, DMD?
The NPI number of Dr. Ava Ghassemi, DMD is 1073139184. It was assigned on June 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Ava Ghassemi, DMD?
Dr. Ava Ghassemi, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN1859156.
Where does Dr. Ava Ghassemi, DMD practice?
The practice location is 209 Harvard St, Brookline, MA 02446-5071. The office can be reached at 617-277-3127 (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 1073139184 directly on the NPPES registry website.