Dr. Mohammad Moini
Periodontist
1795 Main St Suite 202
Springfield
, Massachusetts 01103-1077
Dr. Mohammad Moini
Periodontist
1795 Main St Suite 202
Springfield
, Massachusetts 01103-1077
(413) 567-9090
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Mohammad Moini
- 1158 Williams St
- Longmeadow, MA
- Zip : 01106-2166
- Phone : (413) 567-9090
Second Address
- Dr. Mohammad Moini
- 1795 Main St Suite 202
- Springfield, MA
- Zip : 01103-1077
- Fax : (413) 737-8209
- Phone : (413) 739-5685
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 12567 | MA |
National Provider Identifier
| NPI | 1144334806 |
|---|---|
| Provider Name | Dr. Mohammad Moini |
| First Address | Longmeadow, MA 01106-2166 |
| Second Address | Springfield, MA 01103-1077 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.