Hejazi-Werner, Shiva

Hejazi-Werner, Shiva is an individual health care provider with primary practice located at 12385 Crabapple Rd Ste 100 , Alpharetta GA 30004-6357. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Hejazi-Werner, Shiva can be contacted via phone (770) 744-5595.

Contact Information

Primary practice address
12385 Crabapple Rd Ste 100 Alpharetta GA 30004-6357
Phone: (770) 744-5595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN011904 Georgia

Profile Details

NPI number 1336296029
LBN Legal business name Hejazi-Werner, Shiva
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 15th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336296029 NPPES
Georgia MEDICAID 251792005F
Georgia MEDICAID 076615100

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