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
Fax: (314) 878-6726
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790923365 NPPES
Missouri Other 2013024987 LICENSE NUMBER

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