Movahed, Reza
Movahed, Reza is an sole proprietor health care provider with primary practice located at 1585 Woodlake Dr Ste 208 , Chesterfield MO 63017-5740. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Movahed, Reza can be contacted via phone (314) 878-6725.Contact Information
Primary practice address
1585 Woodlake Dr Ste 208
Chesterfield MO 63017-5740
Phone: (314) 878-6725
Fax: (314) 878-6726
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021002639 | Illinois |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2013024987 | Missouri |
Profile Details
NPI number | 1790923365 |
---|---|
LBN Legal business name | Movahed, Reza |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 4th, 2009 |
Last updated | Jun 5th, 2023 - about last year |
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 | 1790923365 | NPPES |
Missouri | Other | 2013024987 | LICENSE NUMBER |
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