DR. MOHAMMADJAVAD ETESAMI DDS,MSC - NPI 1093512584

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

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About Dr. Mohammadjavad Etesami Dds,msc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOHAMMADJAVAD ETESAMI DDS,MSC (NPI 1093512584) is an individual endodontics provider in Chapel Hill, North Carolina, licensed in North Carolina (151468) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1093512584

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. MOHAMMADJAVAD ETESAMICredential: DDS,MSC

Location Address385 S COLUMBIA STChapel Hill, NC 27514-4309

Mailing Address404 Jones Ferry Rd Apt G4Carrboro, NC 27510-2043 · (240) 654-7896

Phone(240) 654-7896

Sole ProprietorNo

Enumeration DateMarch 3, 2025

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1093512584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in NC · 151468

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

385 S COLUMBIA ST, Chapel Hill, NC 27514

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