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DR. MASOUD K. FARZANEH DDS
NPI 1669544540
Dentist - General Practice in Mulberry, FL

Active since November 15, 2006
105 N CHURCH AVE, MULBERRY, FL 33860(863) 869-8888(863) 869-8880 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Masoud K. Farzaneh Dds NPPES

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

DR. MASOUD K. FARZANEH DDS (NPI 1669544540) is an individual general practice provider in Mulberry, Florida, licensed in Florida (DN 13817) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669544540
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MASOUD K. FARZANEHCredential: DDS
Location Address105 N CHURCH AVEMulberry, FL 33860-2413
Mailing Address105 N Church AveMulberry, FL 33860-2413 · (863) 869-8888 · Fax (863) 869-8880
Phone(863) 869-8888
Fax(863) 869-8880
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 14, 2014
✔ NPI 1669544540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN 13817
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.
105 N CHURCH AVE, Mulberry, FL 33860
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Other Identifiers 3

OtherDN 13817FL · License #
Medicaid071188800FL
Other59-3419655FL · Tax Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FARIBA SHAFII DDS
Dentist (General Practice)
105 N CHURCH AVE
MULBERRY, FL 33860
Polk County (863) 869-8888
MULBERRY DENTAL CARE INC.
Dentist (General Practice)
105 N CHURCH AVE
MULBERRY, FL 33860
Polk County (863) 869-8888

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 Masoud Farzaneh's NPI number?

The NPI number for Masoud Farzaneh is 1669544540. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Masoud Farzaneh located?

Masoud Farzaneh practices at 105 N Church Ave, Mulberry, FL 33860. The listed phone number is (863) 869-8888.

What is Masoud Farzaneh's specialty?

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

What insurance does Masoud Farzaneh accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Masoud Farzaneh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Masoud Farzaneh was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.