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DR. FARDAD MOBED P.C. NPI 1912166141


NPI Information

NPI: 1912166141
Provider Name: DR. FARDAD MOBED, P.C.

Doing Business As: NORTHGATE DENTAL CENTER

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
603 BROADWAY
REVERE, MA
ZIP 02151
Phone: (781) 289-3600
Get Directions

DR. FARDAD MOBED, P.C. is an endodontics dentist in Revere, MA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. FARDAD MOBED, P.C. NPI is 1912166141. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northgate Dental Center.

The provider's business location address is:

603 BROADWAY
REVERE, MA
ZIP 02151-045
Phone: (781) 289-3600

The provider's authorized official is Fardad Mobed .
The authorized official title is Owner and has the following contact phone number (781) 289-3600.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice18187MASSACHUSETTSNo
21223E0200XDentistEndodontics18187MASSACHUSETTSYes

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: 4/28/2024

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