Provider Demographics
NPI:1386713576
Name:ALMASSIAN, BEHRUZ (DMD)
Entity type:Individual
Prefix:DR
First Name:BEHRUZ
Middle Name:
Last Name:ALMASSIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543L KELLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4126
Mailing Address - Country:US
Mailing Address - Phone:085-316-3458
Mailing Address - Fax:085-316-3069
Practice Address - Street 1:543 KELLEY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-4126
Practice Address - Country:US
Practice Address - Phone:508-316-3458
Practice Address - Fax:085-316-3069
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN19816122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA823519683OtherTAX ID
MA110134218AMedicaid