Shideh Modjarrad is a Dentist in Dallas, Texas. Shideh Modjarrad practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shideh Modjarrad is 1235275116. The last update date is 2012-03-20.
Shideh Modjarrad's current location address is 5365 Spring Valley Rd., Dallas, Texas. You can contact this provider via phone number 9723864999 and fax number 9723864964. The mailing address for Shideh Modjarrad is 5365 Spring Valley Rd., Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shideh Modjarrad |
|---|---|
| Address | 5365 Spring Valley Rd., Dallas, Texas |
| Phone Number | 9723864999 |
| Fax Number | 9723864964 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1235275116 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2012-03-20 |
Provider Mailing Address Detail
| Address | 5365 Spring Valley Rd. |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 75254 |
| Phone Number | 9723864999 |
| Fax Number | 9723864964 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19368 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Shideh Modjarrad by the Centers for Medicare & Medicaid Services?
The Shideh Modjarrad has been issued the NPI (National Provider Identifier) 1235275116, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shideh Modjarrad is physically located?
The Shideh Modjarrad is physically situated at the following address: 5365 Spring Valley Rd., Dallas, TX, 75254.
What is Shideh Modjarrad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shideh Modjarrad's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Shideh Modjarrad receive its 1235275116?
The Shideh Modjarrad was issued its 1235275116 on 2007-01-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Shideh Modjarrad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shideh Modjarrad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY