MEDICARE: FARIDOON ZAMANI, D.M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	17338	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861566051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARIDOON ZAMANI, D.M.D., P.C.

Provider Business Mailing Address
First Line	:	310 WASHINGTON ST STE 208
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-4949
Country	:	US
Telephone Number	:	617-277-2666
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 WASHINGTON ST STE 208
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-4949
Country	:	US
Telephone Number	:	617-277-2666
Fax Number	:

Authorized Official
Title or Position	:	P.C.
Name	:	DR. FARIDOON ZAMANI
Credential	:	D.M.D., D.D.S., ETC.
Telephone Number	:	617-277-2666

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	11/16/2021

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