Poya Moghadam in Canton - General Practice

Poya Moghadam - NPI 1720270309

Poya Moghadam is a General Practice in Canton, Georgia. Poya Moghadam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Poya Moghadam is 1720270309. The last update date is 2010-11-15.

Poya Moghadam's current location address is 1810 Cumming Hwy, Canton, Georgia. You can contact this provider via phone number 6788800087 and fax number 6788800059. The mailing address for Poya Moghadam is 1810 Cumming Hwy, Canton, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Poya Moghadam
Address 1810 Cumming Hwy, Canton, Georgia
Phone Number 6788800087
Fax Number 6788800059
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1720270309
Provider Enumeration Date 2007-08-16
Last Updated Date 2010-11-15

Provider Mailing Address Detail

Address 1810 Cumming Hwy
City Canton
State Georgia (GA)
Post Code 301149386
Phone Number 6788800087
Fax Number 6788800059

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DNO13583
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.

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FAQs about Poya Moghadam

What is the unique 10-digit identifier code assigned to Poya Moghadam by the Centers for Medicare & Medicaid Services?

The Poya Moghadam has been issued the NPI (National Provider Identifier) 1720270309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Poya Moghadam is geographically located?

The Poya Moghadam is physically situated at the following location: 1810 Cumming Hwy, Canton, GA, 301149386.

What is Poya Moghadam's specialized field of practice, and what is the corresponding taxonomy classification code?

The Poya Moghadam's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Poya Moghadam receive its 1720270309 assignment from the Centers for Medicare & Medicaid Services?

The Poya Moghadam was assigned its 1720270309 by the Centers for Medicare & Medicaid Services on 2007-08-16.

As of what date were the Poya Moghadam's details last updated?

The information pertaining to the Poya Moghadam, including its address, specialty, and other details, was most recently updated on 2010-11-15.

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