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Contact Information

MASHID HEDAYATI, DDS
1315 MAIN ST
WILLIMANTIC, CT06226-1948
 Phone: 860-450-7471
 Fax: 860-423-4629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MASHID HEDAYATI · (Female)

NPI # 1912065632
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/05/2006
Last updated 07/11/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 008073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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