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
Phone: (303) 421-0063
Fax: (720) 907-1485
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609157171 | NPPES |
Colorado | MEDICAID | 06678866 |
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