COMFORT DENTAL OF WATERTOWN LLC (NPI# 1063836633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063836633 |
| Entity Type | Organization |
| Organization Name | COMFORT DENTAL OF WATERTOWN LLC |
| Other Organization Name | DENTAL PARTNERS OF WATERTOWN |
| Practice Address |
171 Watertown St Watertown MA 02472-2571 |
| Practice Telephone | 6174675113 |
| Mailing Telephone | 6174675113 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | DR. SHAHRAM E MOGHADDAM (OWNER) |
| Authorized Official Telephone | 6173319748 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental partners of Watertown | Doing Business As Name - Organization |
| Street Address |
171 WATERTOWN ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750886685 | American Dental of Watertown | Clinic/Center | 171 Watertown St, Watertown, MA 02472-2571 | 2018-03-23 |
| 1992246458 | Masi Dental Group PC | Clinic/Center | 171 Watertown St, Watertown, MA 02472-2571 | 2017-03-16 |
| 1073985867 | Sana Banday | Dentist | 171 Watertown St, Watertown, MA 02472-2571 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918187 | Evis Myftiu | Dentist | 151 Coolidge Ave Apt 213, Watertown, MA 02472-2865 | 2020-10-01 |
| 1225659352 | Cassandra Dae Hammen | Dentist | 1149 Boughton St Unit B, Watertown, WI 53094-3104 | 2020-04-29 |
| 1225662349 | Nikhita Somalinga Amardeep | Dentist | 151 Coolidge Ave Apt 204, Watertown, MA 02472-2865 | 2020-02-27 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1609366251 | Itagegnehou Gedamu | Dentist | 20991 Arsenal Street Rd # Ny-3, Watertown, NY 13601-4552 | 2018-05-18 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1083091664 | Maryam Akbari | Dentist | 49 Edgecliff Rd, Watertown, MA 02472-3545 | 2015-05-02 |
| 1174934574 | Leeann Diercks | Dentist | 20 19th St Se, Watertown, SD 57201-3938 | 2014-05-19 |
| 1629494992 | Anna Vishart | Dentist | 358 Charles River Rd, Watertown, MA 02472-2737 | 2014-03-11 |
| 1194164343 | Ashley Marie Stoll-pfrimmer | Dentist | 600 4th St Ne Ste 207, Watertown, SD 57201-1898 | 2013-06-20 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.