Gelareh Esfandiari in Worcester - Dental Hygienist
Gelareh Esfandiari - NPI 1649325101
Gelareh Esfandiari is a Dental Hygienist in Worcester, Massachusetts. Gelareh Esfandiari practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Gelareh Esfandiari is 1649325101. The last update date is 2011-12-21.
Gelareh Esfandiari's current location address is 19 Tacoma St, Worcester, Massachusetts. You can contact this provider via phone number 5088521805 and fax number 5088538593. The mailing address for Gelareh Esfandiari is 19 Tacoma St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gelareh Esfandiari |
|---|---|
| Address | 19 Tacoma St, Worcester, Massachusetts |
| Phone Number | 5088521805 |
| Fax Number | 5088538593 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1649325101 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 19 Tacoma St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16053516 |
| Phone Number | 5088521805 |
| Fax Number | 5088538593 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 12407 |
|
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1301071 | MA | -- |
Post Comment/ Review Below
What is the Gelareh Esfandiari's unique identification number?
The Gelareh Esfandiari has been assigned the NPI (National Provider Identifier) Number 1649325101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Gelareh Esfandiari's facilities are geographically located?
The facilities of Gelareh Esfandiari are physically situated at the following location: 19 Tacoma St, Worcester, MA, 16053516.
What is Gelareh Esfandiari's area of expertise and its corresponding taxonomy classification?
The Gelareh Esfandiari's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Gelareh Esfandiari receive its 1649325101 assignment from the Centers for Medicare & Medicaid Services?
The Gelareh Esfandiari was assigned its 1649325101 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gelareh Esfandiari most recently updated or revised?
The information pertaining to Gelareh Esfandiari, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-21.
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