Mansour Mortazie is a Dentist in Falls Church, Virginia. Mansour Mortazie practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mansour Mortazie is 1235128950. The last update date is 2014-03-12.
Mansour Mortazie's current location address is 313 Park Ave, Falls Church, Virginia. You can contact this provider via phone number 7032370662 and fax number 7038831114. The mailing address for Mansour Mortazie is 313 Park Ave, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mansour Mortazie |
|---|---|
| Address | 313 Park Ave, Falls Church, Virginia |
| Phone Number | 7032370662 |
| Fax Number | 7038831114 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1235128950 |
|---|---|
| Provider Enumeration Date | 2005-10-15 |
| Last Updated Date | 2014-03-12 |
Provider Mailing Address Detail
| Address | 313 Park Ave |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220463327 |
| Phone Number | 7032370662 |
| Fax Number | 7038831114 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401005721 |
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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 |
|---|---|---|---|
| 7819315 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mansour Mortazie by the Centers for Medicare & Medicaid Services?
The Mansour Mortazie has been issued the NPI (National Provider Identifier) 1235128950, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mansour Mortazie is physically located?
The Mansour Mortazie is situated at the following address: 313 Park Ave, Falls Church, VA 220463327.
What is Mansour Mortazie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mansour Mortazie's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Mansour Mortazie receive its 1235128950 assignment from the Centers for Medicare & Medicaid Services?
The Mansour Mortazie was assigned its 1235128950 on 2005-10-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mansour Mortazie's details last updated?
The information pertaining to the Mansour Mortazie, including its address, specialty, and other details, was most recently updated on 2014-03-12.