Moghaddam, Shahram
Moghaddam, Shahram is an individual health care provider with primary practice located at 47 Washington St , Weymouth MA 02188-1601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moghaddam, Shahram can be contacted via phone (781) 337-3300.Contact Information
Primary practice address
47 Washington St
Weymouth MA 02188-1601
Phone: (781) 337-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18767 | Massachusetts |
Profile Details
| NPI number | 1013048214 |
|---|---|
| LBN Legal business name | Moghaddam, Shahram |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 16th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013048214 | NPPES |
| Massachusetts | MEDICAID | 0280925 |
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