Badrieh Edalatpour in Boston - Pediatric Dentistry
Badrieh Edalatpour - NPI 1578570123
Badrieh Edalatpour is a Pediatric Dentistry in Boston, Massachusetts. Badrieh Edalatpour practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Badrieh Edalatpour is 1578570123. The last update date is 2007-07-08.
Badrieh Edalatpour's current location address is 68 New Edgerly Rd, Boston, Massachusetts. You can contact this provider via phone number 6172625880 and fax number 6178598804. The mailing address for Badrieh Edalatpour is 68 New Edgerly Rd, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Badrieh Edalatpour |
|---|---|
| Address | 68 New Edgerly Rd, Boston, Massachusetts |
| Phone Number | 6172625880 |
| Fax Number | 6178598804 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1578570123 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 68 New Edgerly Rd |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21153503 |
| Phone Number | 6172625880 |
| Fax Number | 6178598804 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19756 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 282685 | MA | -- | |
| X10762 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Badrieh Edalatpour's 1578570123?
The Badrieh Edalatpour's NPI (National Provider Identifier) Number is 1578570123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Badrieh Edalatpour's physical address?
The Badrieh Edalatpour is physically located at 68 New Edgerly Rd, in the city of Boston, MA, with the postal code 21153503.
What is Badrieh Edalatpour's specialized field of practice, and what is the corresponding taxonomy classification code?
The Badrieh Edalatpour's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did the Badrieh Edalatpour receive its 1578570123?
The Badrieh Edalatpour was issued its 1578570123 on 2006-08-02, which is the date when the organization was assigned this unique identifier.
When was the Badrieh Edalatpour's information last updated?
The Badrieh Edalatpour's information was last updated on 2007-07-08.