Diba Dastajerdi Dmd Pc is a Dental Clinic in Boston, Massachusetts. It is located at 68 New Edgerly Rd, Boston, MA and its contact number is 617-262-5880. The authorized person for Diba Dastajerdi Dmd Pc is Dr. Diba Dastajerdi
who is Owner of the clinic and their contact number is 617-262-5880. The primary license number for Diba Dastajerdi Dmd Pc is DN21835 (Dentist) in Massachusetts. Diba Dastajerdi Dmd Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Diba Dastajerdi Dmd Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Diba Dastajerdi Dmd Pc
Specialization:
Dentistry
Clinic Address:
68 New Edgerly Rd, Boston, Massachusetts, 02115-3503
Phone:
617-262-5880
Fax:
617-859-8804
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Diba Dastajerdi
Position:
Owner
Contact Number:
617-262-5880
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Diba Dastajerdi Dmd Pc clinic are as mentioned below.
NPI Number:
1952703480
NPI Enumeration Date:
16 Sep, 2014
NPI Last Update On:
16 Sep, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diba Dastajerdi Dmd Pc are as mentioned below.
Specialization
License Number
State
Status
Dentist
DN21835
Massachusetts
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110074397A
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Diba Dastajerdi Dmd Pc 68 New Edgerly Rd, Boston, Massachusetts
Zip:
02115-3503
Phone Number:
617-262-5880
Fax Number:
617-859-8804
Patients can reach Diba Dastajerdi Dmd Pc at 68 New Edgerly Rd, Boston, Massachusetts or can call to book an appointment on 617-262-5880. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.