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General NPI Number Information
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NPI Number | 1447276969
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Entity Type | Individual
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Provider Name | REZA SAFFARI DMD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 388 COMMONWEALTH AVE UNIT B3
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City | BOSTON
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State | MA
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Zip | 02215-2800
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Country | US
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Telephone | 617-628-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GIBSON WAY APT 637
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City | REVERE
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State | MA
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Zip | 02151-2474
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Country | US
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Telephone | 503-753-6675
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN23011
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4906T
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D8237
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License Number State | OR
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