Amir Fereidouni, DMD, CAGS
Dentist in Medford, Massachusetts
1841402500- Practice location
- 3985 Mystic Valley Pkwy, Medford, MA 02155-0000
- Phone
- 781-396-6613
- Fax
- —
- Last updated
- July 8, 2007
Amir Fereidouni is a Dentist based in Medford, MA. Amir Fereidouni practices in Medford, MA and has the professional credentials of DMD, CAGS. The NPI Number for Amir Fereidouni is 1841402500 and holds a License No. 20309 (MA). The current practice location address for Amir Fereidouni is 3985 Mystic Valley Pkwy, Medford, MA 02155-0000 and can be reached out via phone at 781-396-6613.
Provider Profile Details
- NPI Number
- 1841402500
- Provider Name
- Amir Fereidouni
- Credential
- DMD, CAGS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3985 Mystic Valley Pkwy, Medford, MA 02155-0000
- Phone Number
- 781-396-6613
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3985 Mystic Valley Pkwy
Medford, MA 02155-0000 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-0000
- Phone Number
- 781-396-6613
Provider Business Mailing Address Details
- Address
- 3920 Mystic Valley Pkwy Apt 919
Medford, MA 02155-6910 - City
- Medford
- State
- MA
- Zip
- 02155-6910
License Information
- License Number
- 20309
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Amir Fereidouni, DMD, CAGS?
The NPI number of Amir Fereidouni, DMD, CAGS is 1841402500. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Amir Fereidouni, DMD, CAGS?
Amir Fereidouni, DMD, CAGS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20309.
Where does Amir Fereidouni, DMD, CAGS practice?
The practice location is 3985 Mystic Valley Pkwy, Medford, MA 02155-0000. The office can be reached at 781-396-6613 (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 1841402500 directly on the NPPES registry website.