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MAHMOUD MAHDAVIAN DDS
NPI 1467391094
Dentist - General Practice in Pembroke, MA

Active since March 27, 2026
9 KALEVA ST, PEMBROKE, MA 02359(617) 774-7512 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mahmoud Mahdavian Dds NPPES

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

MAHMOUD MAHDAVIAN DDS (NPI 1467391094) is an individual general practice provider in Pembroke, Massachusetts, licensed in Massachusetts (DN10001318) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1467391094
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMAHMOUD MAHDAVIANCredential: DDS
Location Address9 KALEVA STPembroke, MA 02359-3023
Mailing Address9 Kaleva StPembroke, MA 02359-3023 · (617) 774-7512
Phone(617) 774-7512
Sole ProprietorNo
Enumeration DateMarch 27, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1467391094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN10001318
Definition
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.
9 KALEVA ST, Pembroke, MA 02359
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahmoud Mahdavian's NPI number?

The NPI number for Mahmoud Mahdavian is 1467391094. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Mahmoud Mahdavian located?

Mahmoud Mahdavian practices at 9 Kaleva St, Pembroke, MA 02359. The listed phone number is (617) 774-7512.

What is Mahmoud Mahdavian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mahmoud Mahdavian was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.