Rassa Abdollahzadeh in Gilbert - Pediatric Dentistry

Rassa Abdollahzadeh - NPI 1225074040

Rassa Abdollahzadeh is a Pediatric Dentistry in Gilbert, Arizona. Rassa Abdollahzadeh practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Rassa Abdollahzadeh is 1225074040. The last update date is 2020-01-13.

Rassa Abdollahzadeh's current location address is 2571 S Val Vista Dr Ste 101, Gilbert, Arizona. You can contact this provider via phone number 4805975536 and fax number 4805975624. The mailing address for Rassa Abdollahzadeh is 2571 S Val Vista Dr Ste 101, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Rassa Abdollahzadeh
Address 2571 S Val Vista Dr Ste 101, Gilbert, Arizona
Phone Number 4805975536
Fax Number 4805975624
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1225074040
Provider Enumeration Date 2006-06-21
Last Updated Date 2020-01-13

Provider Mailing Address Detail

Address 2571 S Val Vista Dr Ste 101
City Gilbert
State Arizona (AZ)
Post Code 852956233
Phone Number 4805975536
Fax Number 4805975624

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 5471
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
590291 AZ AHCCCS PROVIDER ID NUMBER

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FAQs about Rassa Abdollahzadeh

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

The Rassa Abdollahzadeh has been issued the NPI (National Provider Identifier) 1225074040 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Rassa Abdollahzadeh is physically located?

The Rassa Abdollahzadeh is situated at the following address: 2571 S Val Vista Dr Ste 101, Gilbert, AZ 852956233.

What is Rassa Abdollahzadeh's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rassa Abdollahzadeh's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date did Rassa Abdollahzadeh receive its 1225074040 assignment from the Centers for Medicare & Medicaid Services?

The Rassa Abdollahzadeh was assigned its 1225074040 on 2006-06-21, 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 Rassa Abdollahzadeh most recently updated or revised?

The information pertaining to Rassa Abdollahzadeh, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-13.

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