Sedighian, Ali Reza

Sedighian, Ali Reza is an individual health care provider with primary practice located at 9005 Chevrolet Dr Suite 1, Ellicott City MD 21042-4009. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sedighian, Ali Reza can be contacted via phone (410) 465-3021.

Contact Information

Primary practice address
9005 Chevrolet Dr Suite 1 Ellicott City MD 21042-4009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12016 Maryland

Profile Details

NPI number 1316938228
LBN Legal business name Sedighian, Ali Reza
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1316938228 NPPES
Maryland MEDICAID 4103568571

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