Individual
MEHRAN JAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1351 S COUNTY TRL # 120, EAST GREENWICH, RI 02818-5079
(401) 541-9161
(401) 541-9162
Mailing address
1351 S COUNTY TRL # 120, EAST GREENWICH, RI 02818-5079
(401) 541-9161
(401) 541-9162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
02576
RI
1223G0001X
General Practice Dentistry
Primary
18559
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02576
DELTA DENTAL OF RI
RI
01
—
8544-5
BC/BS OF RI
RI
05
—
MJ02576
—
RI
Enumeration date
09/01/2006
Last updated
09/11/2025
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