Avon First Dental LLC

Organization Active NPI Dentist · Avon, MA

NPI 1447583083 · NPPES record last updated Sep 15, 2009

Key facts

NPI
1447583083
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
21444 (MA)
Legal business name
AVON FIRST DENTAL LLC
Practice address
255 W Main St
Avon, MA 02322-1330
Phone
(508) 583-2761
Fax
(508) 587-8937
NPI assigned
Sep 15, 2009
Organization subpart
No

Authorized official

Name
Dr. Farshad Ghobbeh, DMD
Title
Owner
Phone
(508) 583-2761

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

255 W Main St
Avon, MA 02322
Phone (508) 583-2761

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 21444 MA Yes

Addresses

Primary practice location

255 W Main St
Avon, MA 02322-1330

Mailing address

255 W Main St
Avon, MA 02322-1330
Phone (508) 583-2761

Other providers in Avon, MA

All providers in Avon, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.