Shahram Taheri in San Jose - Pediatric Dentistry
Shahram Taheri - NPI 1972522209
Shahram Taheri is a Pediatric Dentistry in San Jose, California. Shahram Taheri practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shahram Taheri is 1972522209. The last update date is 2007-07-08.
Shahram Taheri's current location address is 704 Blossom Hill Rd, San Jose, California. You can contact this provider via phone number 4082260323 and fax number 4082264418. The mailing address for Shahram Taheri is 704 Blossom Hill Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shahram Taheri |
|---|---|
| Address | 704 Blossom Hill Rd, San Jose, California |
| Phone Number | 4082260323 |
| Fax Number | 4082264418 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1972522209 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 704 Blossom Hill Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951235403 |
| Phone Number | 4082260323 |
| Fax Number | 4082264418 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 43736 |
|
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. |
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What is the Shahram Taheri's unique identification number?
The Shahram Taheri has been assigned the NPI (National Provider Identifier) Number 1972522209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Shahram Taheri's facilities are situated?
The facilities of Shahram Taheri are physically located at the following address: 704 Blossom Hill Rd, San Jose, CA, 951235403.
What is the Shahram Taheri's specialty and taxonomy code?
The Shahram Taheri's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date was the 1972522209 assigned to Shahram Taheri?
The Shahram Taheri was issued its 1972522209 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shahram Taheri's information last updated?
The Shahram Taheri's information was last updated on 2007-07-08.
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