Javad Mirzai DMD PLLC

General Practice Dentistry · Gardner, MA

Organization Active NPI

NPI number 1720741069

Practice location

49 Cross Street Ext
Gardner, MA 01440-2209
Phone
(617) 877-5884

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NPI record

NPI
1720741069
Entity type
Organization (Type 2)
Enumeration date
October 13, 2021
Last updated
October 27, 2021
Certified
October 27, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

234 W Main St
Westborough, MA 01581-3823
Phone
(617) 877-5884

Authorized official

Name
Dr. Javad Mirzai, DMD
Title
Doctor/Owner
Phone
(617) 877-8884

About Javad Mirzai DMD PLLC

Javad Mirzai DMD PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 49 Cross Street Ext, Gardner, MA 01440-2209. The NPI number 1720741069 was assigned on October 13, 2021 and the record was last updated on October 27, 2021.

The authorized official for this organization is Dr. Javad Mirzai, DMD, Doctor/Owner.

Frequently asked questions

What is the NPI number of Javad Mirzai DMD PLLC?

The NPI number is 1720741069.

What is the phone number of Javad Mirzai DMD PLLC?

The phone number listed for the practice location is (617) 877-5884.

Where is Javad Mirzai DMD PLLC located?

49 Cross Street Ext, Gardner, MA 01440-2209.

What is the taxonomy code for Javad Mirzai DMD PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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