Firouzeh Jamshidi, D.M.D.
Individual provider Active NPI Pediatric Dentistry · Quincy, MA
NPI 1215220173 · NPPES record last updated Mar 28, 2019
Key facts
- NPI
- 1215220173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 15286 (MD)
- Practice address
- 505 Washington St
Quincy, MA 02169-5834 - Phone
- (617) 639-5942
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15286 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Smiles Pediatric Dentistry of Gaithersburg | Current | Accepting new patients | |
| Lux Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 15286 | MD | Yes |
Addresses
Primary practice location
505 Washington St
Quincy, MA 02169-5834
Mailing address
505 Washington St
Quincy, MA 02169-5834
Phone (617) 639-5942
Other providers in Quincy, MA
- Shannon Jacobs
- Amanda Jacobson
- Mark Charles Jaehnig
- Khushi Basant Jain
- Stacey James
- Margaret Sophie Jannetty
- Bailey Janowski
- Schimidrea E Janvier
- Laura Jarvi
- Kristina Anele Jarvis
All providers in Quincy, MA · Pediatric Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.