Provider Demographics
NPI:1962442673
Name:JOEL ROSS D.M.D. AND NARGES RASHIDFAROKHI, D.M.D., P.C.
Entity Type:Organization
Organization Name:JOEL ROSS D.M.D. AND NARGES RASHIDFAROKHI, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-692-3377
Mailing Address - Street 1:288 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3536
Mailing Address - Country:US
Mailing Address - Phone:978-692-3377
Mailing Address - Fax:978-392-0056
Practice Address - Street 1:288 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3536
Practice Address - Country:US
Practice Address - Phone:978-692-3377
Practice Address - Fax:978-392-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty