DR. FEREIDOUN AGHA-RAZI (NPI# 1982739371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982739371 |
| Entity Type | Individual |
| Full Name | DR. FEREIDOUN AGHA-RAZI |
| Credential | DMD |
| Practice Address |
879 Main St Waltham MA 02451-7414 |
| Mailing Address |
Po Box 52139 Boston MA 02205-2139 |
| Practice Telephone | 6172578664 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
19806 | MA | Dental Providers |
| Street Address |
879 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-7414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053405886 | David Goldberg | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-10-03 |
| 1710532130 | Le Zhang | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2019-08-02 |
| 1760904106 | James Leung | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2017-07-07 |
| 1558631432 | Gentle Dental Waltham | Clinic/Center | 879 Main St, Waltham, MA 02451-7414 | 2012-01-09 |
| 1649590852 | Eric Thomas Anthony | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2010-06-10 |
| 1922206523 | Kirill Klimashov | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2007-07-05 |
| 1063573988 | Donald C Richard Jr. | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-12-13 |
| 1437222486 | Khai Lim | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-11-16 |
| 1902994155 | Robert Girschek | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124454665 | Rachel Mckee | Dentist | 271 Waverley Oaks Rd, Suite #101, Waltham, MA 02452-8469 | 2013-09-16 |
| 1619230364 | Premier Endodontics LLC | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2012-06-18 |
| 1730101650 | Bernard Charles Maloney Jr. | Dentist | 556 Main Street, Waltham, MA 02452 | 2006-07-24 |
| 1467082289 | Adela Agolli Tarshi, D.m.d., P.C. | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2020-01-21 |
| 1124548060 | Kathleen Molgaard | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2017-06-21 |
| 1811019250 | Allison Gaye Ritch | Dentist | 40 2nd Ave, Suite 500 Mass General West, Waltham, MA 02451-1132 | 2007-04-05 |
| 1669516993 | Yelena V. Gutnichenko, Dmd, P.C. | Dentist | 52 Elm St, Waltham, MA 02453-5317 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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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.