Moezzi, Shaheen M

Moezzi, Shaheen M is an individual health care provider with primary practice located at 5600 W 44Th Ave Ste 200 , Denver CO 80212-7339. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / General Practice. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Moezzi, Shaheen M can be contacted via phone (303) 421-0063.

Contact Information

Primary practice address
5600 W 44Th Ave Ste 200 Denver CO 80212-7339
Fax: (720) 907-1485
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 00202224 Colorado
Dental Providers / General Practice 1223G0001X 3121 Ohio

Profile Details

NPI number 1609157171
LBN Legal business name Moezzi, Shaheen M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2011
Last updated Aug 27th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609157171 NPPES
Colorado MEDICAID 06678866

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