Comfort Dental of Watertown LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMFORT DENTAL OF WATERTOWN LLC

Practice address

171 Watertown St
Watertown, MA 02472-2571

Phone

(617) 467-5113

NPI assigned

Feb 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shahram E Moghaddam, DMD

Title

Owner

Phone

(617) 331-9748

Specialties & licenses 1

Addresses

Other names 1

• Dental partners of Watertown Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1063836633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722571",
            "telephone_number": "617-467-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722571",
            "telephone_number": "617-467-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL OF WATERTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-331-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental partners of Watertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Watertown, MA
• Providers in Watertown, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.