Active NPIIndividual providerSole proprietor

Dr. Jacob A Pourati, DMD, MSD, CAGS

Dentist, Periodontics in Belmont, Massachusetts

NPI Number1740390541
Practice location
57 Concord Ave, Belmont, MA 02478-4027
Fax
—
Last updated
July 8, 2007

Jacob Arash Pourati is a Dentist, Periodontics based in Belmont, MA. Jacob Arash Pourati practices in Belmont, MA and has the professional credentials of DMD, MSD, CAGS. The NPI Number for Jacob Arash Pourati is 1740390541 and holds a License No. 20469 (MA). The current practice location address for Jacob Arash Pourati is 57 Concord Ave, Belmont, MA 02478-4027 and can be reached out via phone at 617-484-2431.

Provider Profile Details

NPI Number
1740390541
Provider Name
Jacob Arash Pourati
Credential
DMD, MSD, CAGS
Provider Entity Type
Individual
Gender
Male
Address
57 Concord Ave, Belmont, MA 02478-4027
Phone Number
617-484-2431
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Concord Ave
Belmont, MA 02478-4027
Zip
02478-4027
Phone Number
617-484-2431
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
50 Longwood Ave Apt 820
Brookline, MA 02446-5224
City
Brookline
State
MA
Zip
02446-5224
Phone Number
617-240-9158

License Information

License Number
20469
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Periodontics providers near Belmont, MA

View all Dentist, Periodontics providers in Belmont →

Frequently Asked Questions

What is the NPI number of Dr. Jacob A Pourati, DMD, MSD, CAGS?

The NPI number of Dr. Jacob A Pourati, DMD, MSD, CAGS is 1740390541. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacob A Pourati, DMD, MSD, CAGS?

Dr. Jacob A Pourati, DMD, MSD, CAGS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 20469.

Where does Dr. Jacob A Pourati, DMD, MSD, CAGS practice?

The practice location is 57 Concord Ave, Belmont, MA 02478-4027. The office can be reached at 617-484-2431 (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 1740390541 directly on the NPPES registry website.

Browse related providers