Organization
PARISA SAFAEI D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARISA SAFAEI D.M.D. (OWNER)
(781) 599-4505
Entity
Organization
Contact information
Practice address
62 BURRILL STREET, SWAMPSCOTT, MA 01907
(781) 599-4505
(781) 599-4945
Mailing address
62 BURRILL STREET, SWAMPSCOTT, MA 01907
(781) 599-4505
(781) 599-4945
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
11064
MA
1223G0001X
General Practice Dentistry
Primary
20177
MA
1223G0001X
General Practice Dentistry
21835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218995
MASS HEALTH
MA
01
—
X11964
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/07/2008
Last updated
11/07/2008
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