Organization
CITIDENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN KHADIVI DDS (OWNER)
(617) 723-6300
Entity
Organization
Contact information
Practice address
63 COURT ST, BOSTON, MA 02108-2109
(617) 723-6300
(617) 723-1717
Mailing address
63 COURT ST, BOSTON, MA 02108-2109
(617) 723-6300
(617) 723-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1725478
UNITED CONCORDIA
PA
01
—
X12378
BLUECROSS BLUESHIELD
MA
Enumeration date
05/31/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us