Individual provider · Type 1 NPI

Yazdan Eighaeisedeh

General Practice Dentistry · Everett, MA

NPI number 1164272191 Active

Practice location

1795 Revere Beach Pkwy
Everett, MA 02149-5912

Mailing address

635 Albany St
Boston, MA 02118-3550

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN10000945 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1164272191

Yazdan Eighaeisedeh's National Provider Identifier is 1164272191, issued on Mar 25, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Everett, MA. The record was last updated on Jul 7, 2025.