Active NPIIndividual providerSole proprietor

Pedram Javedan, DDS

Dentist, Pediatric Dentistry in Cambridge, Massachusetts

NPI Number1821295452
Practice location
575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656
Fax
—
Last updated
January 23, 2013

Pedram Javedan is a Dentist, Pediatric Dentistry based in Cambridge, MA. Pedram Javedan practices in Cambridge, MA and has the professional credentials of DDS. The NPI Number for Pedram Javedan is 1821295452 and holds a License No. 053504 (NY). The current practice location address for Pedram Javedan is 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656 and can be reached out via phone at 617-383-4356.

Provider Profile Details

NPI Number
1821295452
Provider Name
Pedram Javedan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656
Phone Number
617-383-4356
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2007
Last Update Date
January 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Mount Auburn St
Suite 201
Cambridge, MA 02138-4656
Zip
02138-4656
Phone Number
617-383-4356
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
575 Mount Auburn St
Suite 201
Cambridge, MA 02138-4656
City
Cambridge
State
MA
Zip
02138-4656
Phone Number
617-383-4356

License Information

License Number (1)
053504
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
DN1855617
License State (2)
MA
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

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

Other Dentist, Pediatric Dentistry providers near Cambridge, MA

View all Dentist, Pediatric Dentistry providers in Cambridge →

Frequently Asked Questions

What is the NPI number of Pedram Javedan, DDS?

The NPI number of Pedram Javedan, DDS is 1821295452. It was assigned on June 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Pedram Javedan, DDS?

Pedram Javedan, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 053504.

Where does Pedram Javedan, DDS practice?

The practice location is 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656. The office can be reached at 617-383-4356 (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 1821295452 directly on the NPPES registry website.

Browse related providers