Yazdan Eighaeisedeh
Dentist, General Practice in Everett, Massachusetts
1164272191- Practice location
- 1795 Revere Beach Pkwy, Everett, MA 02149-5912
- Phone
- 617-294-2600
- Fax
- —
- Last updated
- July 7, 2025
Yazdan Eighaeisedeh is a Dentist, General Practice based in Everett, MA. Yazdan Eighaeisedeh practices in Everett, MA. The NPI Number for Yazdan Eighaeisedeh is 1164272191 and holds a License No. DN10000945 (MA). The current practice location address for Yazdan Eighaeisedeh is 1795 Revere Beach Pkwy, Everett, MA 02149-5912 and can be reached out via phone at 617-294-2600.
Provider Profile Details
- NPI Number
- 1164272191
- Provider Name
- Yazdan Eighaeisedeh
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1795 Revere Beach Pkwy, Everett, MA 02149-5912
- Phone Number
- 617-294-2600
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2024
- Last Update Date
- July 7, 2025
- Certification Date
- July 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1795 Revere Beach Pkwy
Everett, MA 02149-5912 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5912
- Phone Number
- 617-294-2600
Provider Business Mailing Address Details
- Address
- 635 Albany St
Boston, MA 02118-3550 - City
- Boston
- State
- MA
- Zip
- 02118-3550
License Information
- License Number
- DN10000945
- 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 Yazdan Eighaeisedeh?
The NPI number of Yazdan Eighaeisedeh is 1164272191. It was assigned on March 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Yazdan Eighaeisedeh?
Yazdan Eighaeisedeh is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN10000945.
Where does Yazdan Eighaeisedeh practice?
The practice location is 1795 Revere Beach Pkwy, Everett, MA 02149-5912. The office can be reached at 617-294-2600 (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 1164272191 directly on the NPPES registry website.