Dr. Marjan Khodadoust, DMD
Dentist, General Practice in Amherst, Massachusetts
1073730354- Practice location
- 203 Triangle St, Amherst, MA 01002-2161
- Phone
- 413-549-6270
- Fax
- 413-549-6282
- Last updated
- July 8, 2007
Marjan Khodadoust is a Dentist, General Practice based in Amherst, MA. Marjan Khodadoust practices in Amherst, MA and has the professional credentials of DMD. The NPI Number for Marjan Khodadoust is 1073730354 and holds a License No. 19096 (MA). The current practice location address for Marjan Khodadoust is 203 Triangle St, Amherst, MA 01002-2161 and can be reached out via phone at 413-549-6270 and via fax at 413-549-6282.
Provider Profile Details
- NPI Number
- 1073730354
- Provider Name
- Marjan Khodadoust
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 203 Triangle St, Amherst, MA 01002-2161
- Phone Number
- 413-549-6270
- Fax Number
- 413-549-6282
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 19, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 203 Triangle St
Amherst, MA 01002-2161 - City
- Amherst
- State
- Massachusetts
- Zip
- 01002-2161
- Phone Number
- 413-549-6270
- Fax Number
- 413-549-6282
Provider Business Mailing Address Details
- Address
- 30 Weaver Cir
Amherst, MA 01002-4103 - City
- Amherst
- State
- MA
- Zip
- 01002-4103
- Phone Number
- 413-549-6930
License Information
- License Number
- 19096
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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. Marjan Khodadoust, DMD?
The NPI number of Dr. Marjan Khodadoust, DMD is 1073730354. It was assigned on April 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Marjan Khodadoust, DMD?
Dr. Marjan Khodadoust, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19096.
Where does Dr. Marjan Khodadoust, DMD practice?
The practice location is 203 Triangle St, Amherst, MA 01002-2161. The office can be reached at 413-549-6270 (phone) or 413-549-6282 (fax).
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 1073730354 directly on the NPPES registry website.