NPI 1407908213 · live from the CMS NPI Registry
Class One Orthodontic Asso LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, MA. National Provider Identifier 1407908213, active.
NPI record
| NPI | 1407908213 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 365 Burncoat St, Worcester, MA 01606 |
| Practice phone | 508-853-4003 |
| Enumerated | January 18, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Faeze Fadiani, Owner |
| Other names | Faeze Fadiani DMD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 20717 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 14774 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.