Mehran Enayati is a Prosthodontics in Portland, Oregon. Mehran Enayati practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Mehran Enayati is 1083749907. The last update date is 2007-07-08.
Mehran Enayati's current location address is 15280 Nw Central Dr, Portland, Oregon. You can contact this provider via phone number 5035338240 and fax number 5035338320. The mailing address for Mehran Enayati is 15280 Nw Central Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mehran Enayati |
|---|---|
| Address | 15280 Nw Central Dr, Portland, Oregon |
| Phone Number | 5035338240 |
| Fax Number | 5035338320 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083749907 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15280 Nw Central Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972297805 |
| Phone Number | 5035338240 |
| Fax Number | 5035338320 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | D7039 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D7039 | OR | DENTAL LICENSE NUMBER |
Post Comment/ Review Below
What is the Mehran Enayati's unique identification number?
The Mehran Enayati has been assigned the NPI (National Provider Identifier) Number 1083749907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mehran Enayati?
The Mehran Enayati is situated at 15280 Nw Central Dr, in the city of Portland, state of OR, with the zip code 972297805.
What is the Mehran Enayati's area of specialization and corresponding taxonomy classification?
The Mehran Enayati's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did Mehran Enayati receive its 1083749907 assignment from the Centers for Medicare & Medicaid Services?
The Mehran Enayati was assigned its 1083749907 on 2007-02-22, 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 details related to Mehran Enayati most recently updated or revised?
The information pertaining to Mehran Enayati, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.