Active NPIIndividual providerSole proprietor

Dr. Mariam Ghavamian, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Brookline, Massachusetts

NPI Number1235202979
Practice location
1247 Beacon St, Brookline, MA 02446-5273
Fax
617-232-8933
Last updated
July 8, 2007

Mariam Ghavamian is a Dentist, Orthodontics and Dentofacial Orthopedics based in Brookline, MA. Mariam Ghavamian practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Mariam Ghavamian is 1235202979 and holds a License No. 18012 (MA). The current practice location address for Mariam Ghavamian is 1247 Beacon St, Brookline, MA 02446-5273 and can be reached out via phone at 617-738-0806 and via fax at 617-232-8933.

Provider Profile Details

NPI Number
1235202979
Provider Name
Mariam Ghavamian
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1247 Beacon St, Brookline, MA 02446-5273
Phone Number
617-738-0806
Fax Number
617-232-8933
Sole Proprietor
Yes
Provider Enumeration Date
November 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1247 Beacon St
Brookline, MA 02446-5273
Zip
02446-5273
Phone Number
617-738-0806
Fax Number
617-232-8933
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
1247 Beacon St
Brookline, MA 02446-5273
City
Brookline
State
MA
Zip
02446-5273
Phone Number
617-738-0806
Fax Number
617-232-8933

License Information

License Number
18012
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Dr. Mariam Ghavamian, DMD?

The NPI number of Dr. Mariam Ghavamian, DMD is 1235202979. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mariam Ghavamian, DMD?

Dr. Mariam Ghavamian, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 18012.

Where does Dr. Mariam Ghavamian, DMD practice?

The practice location is 1247 Beacon St, Brookline, MA 02446-5273. The office can be reached at 617-738-0806 (phone) or 617-232-8933 (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 1235202979 directly on the NPPES registry website.

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