Dr. Fardad Mobed, P.c.
Dentist, Endodontics in Revere, Massachusetts
1912166141- Practice location
- 603 Broadway, Revere, MA 02151-3045
- Phone
- 781-289-3600
- Fax
- —
- Last updated
- June 3, 2008
Dr. Fardad Mobed, P.c. is a healthcare organization based in Revere, MA. Dr. Fardad Mobed, P.c. practices in Revere, MA. The NPI Number for Dr. Fardad Mobed, P.c. is 1912166141 and holds a License No. 18187 (MA). The current practice location address for Dr. Fardad Mobed, P.c. is 603 Broadway, Revere, MA 02151-3045 and can be reached out via phone at 781-289-3600.
Provider Profile Details
- NPI Number
- 1912166141
- Provider Name
- Dr. Fardad Mobed, P.c.
- Provider Entity Type
- Organization
- Address
- 603 Broadway, Revere, MA 02151-3045
- Phone Number
- 781-289-3600
- Primary Taxonomy
- Dentist, Endodontics · 1223E0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Fardad Mobed · Owner · 781-289-3600
- Other Names
- Northgate Dental Center (Doing Business As)
- Provider Enumeration Date
- June 3, 2008
- Last Update Date
- June 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 603 Broadway
Revere, MA 02151-3045 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3045
- Phone Number
- 781-289-3600
Provider Business Mailing Address Details
- Address
- 603 Broadway
Revere, MA 02151-3045 - City
- Revere
- State
- MA
- Zip
- 02151-3045
- Phone Number
- 781-289-3600
License Information
- License Number (1)
- 18187
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 18187
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Endodontics · 1223E0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Endodontics providers near Revere, MA
View all Dentist, Endodontics providers in Revere →- Dr. Elina Fooks, DMDDentist, Endodontics · NPI 1154415362
- Dr. Fardad Mobed, DMDDentist, Endodontics · NPI 1912027293
- Kamila De La CruzRegistered Nurse · NPI 1740180314
- Erick Rys, RN283722Nurse Practitioner, Psych/Mental Health · NPI 1336046218
- Walgreen Co.Pharmacy · NPI 1326053513
- Leena MarsanCase Manager/Care Coordinator · NPI 1750280996
Frequently Asked Questions
What is the NPI number of Dr. Fardad Mobed, P.c.?
The NPI number of Dr. Fardad Mobed, P.c. is 1912166141. It was assigned on June 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Fardad Mobed, P.c.?
Dr. Fardad Mobed, P.c. is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number 18187.
Where does Dr. Fardad Mobed, P.c. practice?
The practice location is 603 Broadway, Revere, MA 02151-3045. The office can be reached at 781-289-3600 (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 1912166141 directly on the NPPES registry website.