DR. MASOUD EGHTEDARI (DDS) – Prosthodontics, NPI 1982676508

DR. MASOUD EGHTEDARI (DDS) is a healthcare provider. based in Jacksonville, Florida. specializing in Prosthodontics. They hold the professional credentials DDS. They hold a License No. 4777 (LA). The NPI Number for DR. MASOUD EGHTEDARI (DDS) is 1982676508

Main info

Male
Name
DR. MASOUD EGHTEDARI (DDS)
NPI
1982676508
Phone
(858) 577-4725
Address
BLDG H 2005 KNIGHT LANE
Enumeration Date
7 February 2006
Last Update Date
3 February 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. MASOUD EGHTEDARI (DDS)

  • BLDG H 2005 KNIGHT LANE

    NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS

    JACKSONVILLE, FL 322120140

    Phone: (858) 577-4725

    Type: Location

  • PSC 819 BOX18-328

    FPO AE, SPAIN 09645

    Phone: 01134956823768

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32212)

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Frequently asked questions

What federal number belongs to DR. MASOUD EGHTEDARI (DDS)?
The federal identifier for DR. MASOUD EGHTEDARI (DDS) is NPI 1982676508.
Is DR. MASOUD EGHTEDARI (DDS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MASOUD EGHTEDARI (DDS)?
The page reflects Prosthodontics for DR. MASOUD EGHTEDARI (DDS). Clinical services aligned with this taxonomy classification.
Does DR. MASOUD EGHTEDARI (DDS) practice in Florida?
You will see Jacksonville, Florida on file for DR. MASOUD EGHTEDARI (DDS) alongside any extra practice locations.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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