Fattahi, Tirbod Todd
Fattahi, Tirbod Todd is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Oral Surgery, Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Dentist. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Fattahi, Tirbod Todd can be contacted via phone (904) 244-3901.Contact Information
Primary practice address
655 W 8Th St Ufjp Oral Surgery
Jacksonville FL 32209-6511
Phone: (904) 244-3901
Fax: (904) 244-3218
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ME85119 | Florida |
Dental Providers / Dentist | 122300000X | DTP368 | Florida |
Profile Details
NPI number | 1093780603 |
---|---|
LBN Legal business name | Fattahi, Tirbod Todd |
Credentials | M.D. , DDS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2006 |
Last updated | Apr 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093780603 | NPPES |
Florida | MEDICAID | 2644371-00 | |
Florida | MEDICAID | 0752941-00 | |
Florida | MEDICAID | 000947339C |
Popular Providers
-
Nathan, John
653 W 8Th St , Jacksonville FL 32209-6511 -
Bucking, Paul Michael
Naval Hospital Jacksonville , Jacksonville FL 32214-0001 -
Steinberg, Barry
655 W 8Th St Ufjp Maxillofacial Surgery, Jacksonville FL 32209-6511 -
Caruso, Daniel P
653-1 W 8Th St , Jacksonville FL 32209-6511 -
Bunnell, Anthony
653 W 8Th St Faculty Clinic 3Rd Fl, Jacksonville FL 32209-6511 -
Nedrud, Stacey Michelle
653-1 W 8Th St Fl 2 , Jacksonville FL 32209-6511 -
Massaro, Anthony
7711 Baymeadows Rd E Ste 7 , Jacksonville FL 32256-9110 -
Slovan, Vincent Joseph
2005 Knight Lane Attn: Medical Staff Services Bldg H, Jacksonville FL 32212