Provider Demographics
NPI:1285701375
Name:ATTARZADEH, FEREIDOON (DMD MSCD DSC)
Entity type:Individual
Prefix:DR
First Name:FEREIDOON
Middle Name:
Last Name:ATTARZADEH
Suffix:
Gender:M
Credentials:DMD MSCD DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3429
Mailing Address - Country:US
Mailing Address - Phone:617-842-9999
Mailing Address - Fax:781-828-7738
Practice Address - Street 1:1050 HANCOCK STREET
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-2109
Practice Address - Country:US
Practice Address - Phone:617-471-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics