Active NPIOrganization

Ramesh Izedian DMD & Shohram Moghaddam DMD PC

Dentist in Stoneham, Massachusetts

NPI Number1720158942
Practice location
3 Woodland RD, Ste 417, Stoneham, MA 02180
Fax
781-662-4430
Last updated
August 22, 2020

Ramesh Izedian DMD & Shohram Moghaddam DMD PC is a healthcare organization based in Stoneham, MA. Ramesh Izedian DMD & Shohram Moghaddam DMD PC practices in Stoneham, MA. The NPI Number for Ramesh Izedian DMD & Shohram Moghaddam DMD PC is 1720158942 and holds a License No. 18767 (MA). The current practice location address for Ramesh Izedian DMD & Shohram Moghaddam DMD PC is 3 Woodland RD, Ste 417, Stoneham, MA 02180 and can be reached out via phone at 781-662-1999 and via fax at 781-662-4430.

Provider Profile Details

NPI Number
1720158942
Provider Name
Ramesh Izedian DMD & Shohram Moghaddam DMD PC
Provider Entity Type
Organization
Address
3 Woodland RD, Ste 417, Stoneham, MA 02180
Phone Number
781-662-1999
Fax Number
781-662-4430
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mr. Ramesh Izedian, DMD · Owner · 781-662-1999
Other Names
Cosmetic Dental Associates (Doing Business As)
Provider Enumeration Date
November 8, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Woodland RD
Ste 417
Stoneham, MA 02180
Zip
02180
Phone Number
781-662-1999
Fax Number
781-662-4430
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
3 Woodland RD
Ste 417
Stoneham, MA 02180
City
Stoneham
State
MA
Zip
02180
Phone Number
781-662-1999
Fax Number
781-662-4430

License Information

License Number (1)
18767
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
18174
License State (2)
MA
Taxonomy (2)
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 Ramesh Izedian DMD & Shohram Moghaddam DMD PC?

The NPI number of Ramesh Izedian DMD & Shohram Moghaddam DMD PC is 1720158942. It was assigned on November 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Ramesh Izedian DMD & Shohram Moghaddam DMD PC?

Ramesh Izedian DMD & Shohram Moghaddam DMD PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18767.

Where does Ramesh Izedian DMD & Shohram Moghaddam DMD PC practice?

The practice location is 3 Woodland RD, Ste 417, Stoneham, MA 02180. The office can be reached at 781-662-1999 (phone) or 781-662-4430 (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 1720158942 directly on the NPPES registry website.

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