Shahram Shidmand Dds Inc in Fresno - General Practice

Shahram Shidmand Dds Inc - NPI 1073720504

Shahram Shidmand Dds Inc is a General Practice in Fresno, California. Shahram Shidmand Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shahram Shidmand Dds Inc is 1073720504. The last update date is 2020-08-22.

Shahram Shidmand Dds Inc's current location address is 1211 N Del Mar Ave, Fresno, California. You can contact this provider via phone number 5594978300 and fax number 5594971501. The mailing address for Shahram Shidmand Dds Inc is 1211 N Del Mar Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shahram Shidmand Dds Inc
Address 1211 N Del Mar Ave, Fresno, California
Phone Number 5594978300
Fax Number 5594971501
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shidmand Sean
Credentials DDS
Telephone Number 5594798300

NPI Number Detail

NPI Number 1073720504
Provider Enumeration Date 2007-05-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1211 N Del Mar Ave
City Fresno
State California (CA)
Post Code 937281958
Phone Number 5594978300
Fax Number 5594971501

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 48018
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G92364-01 CA --

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FAQs about Shahram Shidmand Dds Inc

What is the unique 10-digit identification code assigned to Shahram Shidmand Dds Inc by the Centers for Medicare & Medicaid Services?

The Shahram Shidmand Dds Inc has been issued the NPI (National Provider Identifier) 1073720504, 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 Shahram Shidmand Dds Inc is physically located?

The Shahram Shidmand Dds Inc is situated at the following address: 1211 N Del Mar Ave, Fresno, CA 937281958.

What is Shahram Shidmand Dds Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shahram Shidmand Dds Inc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When was the Shahram Shidmand Dds Inc's 1073720504 issued?

The Shahram Shidmand Dds Inc's 1073720504 was issued on 2007-05-16.

As of what date were the Shahram Shidmand Dds Inc's details last updated?

The information pertaining to the Shahram Shidmand Dds Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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