Sasan Khodabakhsh is a Dentist in Dallas, Texas. Sasan Khodabakhsh practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sasan Khodabakhsh is 1053428755. The last update date is 2007-07-08.
Sasan Khodabakhsh's current location address is 17610 Midway Rd, Dallas, Texas. You can contact this provider via phone number 9727358900 and fax number 9727358964. The mailing address for Sasan Khodabakhsh is 17610 Midway Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sasan Khodabakhsh |
|---|---|
| Address | 17610 Midway Rd, Dallas, Texas |
| Phone Number | 9727358900 |
| Fax Number | 9727358964 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053428755 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17610 Midway Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752876777 |
| Phone Number | 9727358900 |
| Fax Number | 9727358964 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22300 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 173282809 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sasan Khodabakhsh by the Centers for Medicare & Medicaid Services (CMS)?
The Sasan Khodabakhsh has been assigned the NPI (National Provider Identifier) 1053428755. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Sasan Khodabakhsh's facilities are geographically located?
The facilities of Sasan Khodabakhsh are physically situated at the following location: 17610 Midway Rd, Dallas, TX, 752876777.
What is the area of specialization for Sasan Khodabakhsh, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sasan Khodabakhsh is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053428755 to Sasan Khodabakhsh?
The Centers for Medicare & Medicaid Services assigned the 1053428755 to Sasan Khodabakhsh on 2006-08-25.
When was the information pertaining to Sasan Khodabakhsh most recently updated or revised?
The details related to Sasan Khodabakhsh, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY