Provider Demographics
NPI:1073732095
Name:ASBEDIAN, AMY FERSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:FERSON
Last Name:ASBEDIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:FERSON
Other - Last Name:ASBEDIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:28 WOODARD RD
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-3011
Mailing Address - Country:US
Mailing Address - Phone:508-668-0786
Mailing Address - Fax:
Practice Address - Street 1:104 TREMONT ST
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4750
Practice Address - Country:US
Practice Address - Phone:781-934-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice