Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629273776 Individual Practitioner Female Practitioner

Dr. Diba Dastjerdi , DMD

Dentist - General Practice • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Diba Dastjerdi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Practice services are available at 68 NEW EDGERLY ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

68 New Edgerly Road

Boston, MA 02115

Telephone 6172625880
Fax 6178598804
Associated Practice Facility / Clinic
🏢 Richard D Carr Dds Facility NPI 1124173612

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 21835

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Rocio Sardinas Naranjo , DMD

Dentist - General Practice

NPI 1114627809

Doctor of Dental Medicine

Dr. Ashkan Samadzadeh , DMD

Dentist - General Practice

NPI 1194871657

Doctor of Dental Medicine

Dr. Bahram Ghassemi , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1356351696

Doctor of Dental Medicine

Dr. Badrieh Edalatpour , DMD

Dentist - Pediatric Dentistry

NPI 1578570123

Doctor of Dental Medicine

Dr. Richard Carr , DDS

Dentist - Pediatric Dentistry

NPI 1639186083

Doctor of Dental Surgery

NPI 1942972369

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2013

Registered at 68 NEW EDGERLY ROAD, BOSTON, MA 02115 (Tel: 6172625880)

📍
Updated Business Mailing Address April 26, 2013

Registered at 68 NEW EDGERLY ROAD, BOSTON, MA 02115 (Tel: 6172625880)

👤
Provider Name / Credentials Updated April 26, 2013

Recorded as DIBA DASTJERDI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2013

Dentist (License #21835 in MA)

🟢
Initial NPI Registration & Enumeration June 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629273776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2007
Last Update: April 26, 2013
Sole Proprietor: No

Mailing Address

68 New Edgerly Road

Boston, MA 02115

Phone: 6172625880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.