Diba Dastjerdi

Dentist · Swampscott, MA

Organization Active NPI

NPI number 1326299702

Practice location

62 Burrill St
Swampscott, MA 01907-1903
Phone
(781) 599-4505
Fax
(781) 599-4945

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NPI record

NPI
1326299702
Entity type
Organization (Type 2)
Enumeration date
October 3, 2008
Last updated
January 6, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 21835 MA

Authorized official

Name
Diba Dastjerdi, D.M.D
Title
Independant Contractor/Dentist
Phone
(781) 599-4505

About Diba Dastjerdi

Diba Dastjerdi is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 62 Burrill St, Swampscott, MA 01907-1903. The NPI number 1326299702 was assigned on October 3, 2008 and the record was last updated on January 6, 2009.

Diba Dastjerdi lists a license in the registry: #21835 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Diba Dastjerdi, D.M.D, Independant Contractor/Dentist.

Frequently asked questions

What is the NPI number of Diba Dastjerdi?

The NPI number is 1326299702.

What is the phone number of Diba Dastjerdi?

The phone number listed for the practice location is (781) 599-4505.

Where is Diba Dastjerdi located?

62 Burrill St, Swampscott, MA 01907-1903.

What is the taxonomy code for Diba Dastjerdi?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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