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Active NPI 1164272191 Individual Practitioner Male Practitioner

Yazdan Eighaeisedeh

Dentist - General Practice • Everett, MA

Professional Overview & Biography Verified Profile Summary

Yazdan Eighaeisedeh is a registered healthcare professional specializing in Dentist - General Practice in Everett, MA. Practice services are available at 1795 REVERE BEACH PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1795 Revere Beach Pkwy

Everett, MA 021495912

Telephone 6172942600
Associated Practice Facility / Clinic
🏢 Excel Dental Of Everett, Llc Facility NPI 1154097434

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Everett, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
20 Specialists

Practicing in Everett, 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

CMS Verified: 2025-07-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN10000945

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

2 Associated Practitioners
NPI 1154060325

Doctor of Dental Medicine

NPI 1275395816

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 07, 2025

Registered at 1795 REVERE BEACH PKWY, EVERETT, MA 021495912 (Tel: 6172942600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2025

Dentist (License #DN10000945 in MA)

NPI Profile Active March 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2024

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

📍
Updated Business Mailing Address March 25, 2024

Registered at 635 ALBANY ST, BOSTON, MA 021183550

👤
Provider Name / Credentials Updated March 25, 2024

Recorded as YAZDAN EIGHAEISEDEH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2024

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: 1164272191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2024
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

635 Albany St

Boston, MA 021183550

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.