NPI 1821611807 · live from the CMS NPI Registry
Adi Davidyan, Dmd
Dentist, Orthodontics and Dentofacial Orthopedics in Beverly, MA. National Provider Identifier 1821611807, active.
NPI record
| NPI | 1821611807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2 Elm Top Ln, Beverly, MA 01915 |
| Practice phone | 978-578-6466 |
| Enumerated | May 25, 2020 |
| Last updated | July 1, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN1858664 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.