Active NPIOrganization

Diba Dastjerdi

Dentist in Swampscott, Massachusetts

NPI Number1326299702
Practice location
62 Burrill St, Swampscott, MA 01907-1903
Fax
781-599-4945
Last updated
January 6, 2009

Diba Dastjerdi is a healthcare organization based in Swampscott, MA. Diba Dastjerdi practices in Swampscott, MA. The NPI Number for Diba Dastjerdi is 1326299702 and holds a License No. 21835 (MA). The current practice location address for Diba Dastjerdi is 62 Burrill St, Swampscott, MA 01907-1903 and can be reached out via phone at 781-599-4505 and via fax at 781-599-4945.

Provider Profile Details

NPI Number
1326299702
Provider Name
Diba Dastjerdi
Provider Entity Type
Organization
Address
62 Burrill St, Swampscott, MA 01907-1903
Phone Number
781-599-4505
Fax Number
781-599-4945
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Diba Dastjerdi, DMD · Independant Contractor/Dentist · 781-599-4505
Provider Enumeration Date
October 3, 2008
Last Update Date
January 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Burrill St
Swampscott, MA 01907-1903
Zip
01907-1903
Phone Number
781-599-4505
Fax Number
781-599-4945
Swampscott, MA 01907Get directions →

Provider Business Mailing Address Details

Address
62 Burrill St
Swampscott, MA 01907-1903
City
Swampscott
State
MA
Zip
01907-1903
Phone Number
781-599-4505
Fax Number
781-599-4945

License Information

License Number
21835
License State
MA
Taxonomy
Dentist · 122300000X · 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 Diba Dastjerdi?

The NPI number of Diba Dastjerdi is 1326299702. It was assigned on October 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Diba Dastjerdi?

Diba Dastjerdi is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21835.

Where does Diba Dastjerdi practice?

The practice location is 62 Burrill St, Swampscott, MA 01907-1903. The office can be reached at 781-599-4505 (phone) or 781-599-4945 (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 1326299702 directly on the NPPES registry website.

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