Weymouth Smiles Dental

Organization Active NPI Dentist · East Weymouth, MA

NPI 1558780320 · NPPES record last updated Apr 9, 2014

Key facts

NPI
1558780320
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
WEYMOUTH SMILES DENTAL
Practice address
536 Broad St
East Weymouth, MA 02189-1362
Phone
(781) 331-2442
Fax
(781) 337-8981
NPI assigned
Apr 9, 2014
Organization subpart
No

Authorized official

Name
Shahram Moghaddam
Title
DMD/Owner
Phone
(781) 337-3300

Practitioners 2

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

National Provider Directory

Locations

536 Broad St
Ste 1
Weymouth, MA 02189
Phone (781) 331-2442

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X MA Yes

Addresses

Primary practice location

536 Broad St
East Weymouth, MA 02189-1362

Mailing address

536 Broad St
East Weymouth, MA 02189-1362
Phone (781) 331-2442

Other providers in East Weymouth, MA

All providers in East Weymouth, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.