OrganizationActive
Mazdenta Advanced Dentistry PLLC
NPI 1790668770 · Dental Clinic/Center · Bourne, MA
Provider details
- NPI number
- 1790668770
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khosrow Dinyaryan, DMD(857) 250-1515
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Trowbridge Rd Ste 7
Bourne, MA 02532-3662
Phone: (508) 759-7200
Street-level locationGet directions
Mailing address
12 Jeremiah Cir
Medford, MA 02155-1676
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.