Active NPIIndividual providerSole proprietor

Azadeh Emam, DMD

Dentist in Leominster, Massachusetts

NPI Number1982997177
Practice location
55 Sack Blvd, Unit 5, Leominster, MA 01453-3325
Fax
978-466-6801
Last updated
May 19, 2011

Azadeh Emam is a Dentist based in Leominster, MA. Azadeh Emam practices in Leominster, MA and has the professional credentials of DMD. The NPI Number for Azadeh Emam is 1982997177 and holds a License No. DN1855565 (MA). The current practice location address for Azadeh Emam is 55 Sack Blvd, Unit 5, Leominster, MA 01453-3325 and can be reached out via phone at 978-466-6800 and via fax at 978-466-6801.

Provider Profile Details

NPI Number
1982997177
Provider Name
Azadeh Emam
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
55 Sack Blvd, Unit 5, Leominster, MA 01453-3325
Phone Number
978-466-6800
Fax Number
978-466-6801
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 19, 2011
Last Update Date
May 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Sack Blvd
Unit 5
Leominster, MA 01453-3325
Zip
01453-3325
Phone Number
978-466-6800
Fax Number
978-466-6801
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
55 Sack Blvd
Unit 5
Leominster, MA 01453-3325
City
Leominster
State
MA
Zip
01453-3325
Phone Number
857-277-3077

License Information

License Number (1)
DN1855565
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
019028489
License State (2)
IL
Taxonomy (2)
Dentist · 122300000X
License Number (3)
0025956
License State (3)
TX
Taxonomy (3)
Dentist · 122300000X
License Number (4)
10358
License State (4)
CT
Taxonomy (4)
Dentist · 122300000X
License Number (5)
12011534A
License State (5)
IN
Taxonomy (5)
Dentist · 122300000X

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 Azadeh Emam, DMD?

The NPI number of Azadeh Emam, DMD is 1982997177. It was assigned on May 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Azadeh Emam, DMD?

Azadeh Emam, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855565.

Where does Azadeh Emam, DMD practice?

The practice location is 55 Sack Blvd, Unit 5, Leominster, MA 01453-3325. The office can be reached at 978-466-6800 (phone) or 978-466-6801 (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 1982997177 directly on the NPPES registry website.

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