Active NPIIndividual provider

Dr. Mashid Hedayati, DDS

Dentist, Dental Public Health in Willimantic, Connecticut

NPI Number1912065632
Practice location
1315 Main St, Willimantic, CT 06226-1948
Fax
860-423-4629
Last updated
July 11, 2007

Mashid Hedayati is a Dentist, Dental Public Health based in Willimantic, CT. Mashid Hedayati practices in Willimantic, CT and has the professional credentials of DDS. The NPI Number for Mashid Hedayati is 1912065632 and holds a License No. 008073 (CT). The current practice location address for Mashid Hedayati is 1315 Main St, Willimantic, CT 06226-1948 and can be reached out via phone at 860-450-7471 and via fax at 860-423-4629.

Provider Profile Details

NPI Number
1912065632
Provider Name
Mashid Hedayati
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1315 Main St, Willimantic, CT 06226-1948
Phone Number
860-450-7471
Fax Number
860-423-4629
Primary Taxonomy
Dentist, Dental Public Health · 1223D0001X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2006
Last Update Date
July 11, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1315 Main St
Willimantic, CT 06226-1948
Zip
06226-1948
Phone Number
860-450-7471
Fax Number
860-423-4629
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
1315 Main St
Willimantic, CT 06226-1948
City
Willimantic
State
CT
Zip
06226-1948
Phone Number
860-450-7471
Fax Number
860-423-4629

License Information

License Number (1)
008073
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
008073
License State (2)
CT
Taxonomy (2)
Dentist, Dental Public Health · 1223D0001X · 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 Dr. Mashid Hedayati, DDS?

The NPI number of Dr. Mashid Hedayati, DDS is 1912065632. It was assigned on December 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mashid Hedayati, DDS?

Dr. Mashid Hedayati, DDS is registered under the primary taxonomy Dentist, Dental Public Health (code 1223D0001X), licensed in CT under license number 008073.

Where does Dr. Mashid Hedayati, DDS practice?

The practice location is 1315 Main St, Willimantic, CT 06226-1948. The office can be reached at 860-450-7471 (phone) or 860-423-4629 (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 1912065632 directly on the NPPES registry website.

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