Provider Demographics
NPI:1982417507
Name:MESROPYAN, GRIGOR (DMD)
Entity type:Individual
Prefix:DR
First Name:GRIGOR
Middle Name:
Last Name:MESROPYAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 SOLDIERS FIELD RD UNIT 418
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1149
Mailing Address - Country:US
Mailing Address - Phone:617-543-0743
Mailing Address - Fax:
Practice Address - Street 1:45 WEST ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-1635
Practice Address - Country:US
Practice Address - Phone:508-222-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN100010651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice