BADRIEH EDALATPOUR DMD NPI 1578570123

NPI Information

NPI: 1578570123
Provider Name: BADRIEH EDALATPOUR, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
68 NEW EDGERLY RD
BOSTON, MA
ZIP 02115
Phone: (617) 262-5880
Get Directions

Badrieh Edalatpour, DMD is a pediatric dentistry dentist in Boston, MA. The provider is 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. Badrieh Edalatpour, DMD NPI is 1578570123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

68 NEW EDGERLY RD
BOSTON, MA
ZIP 02115-503
Phone: (617) 262-5880
Fax: (617) 859-8804

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	19756	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	X10762	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	0282685	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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