Individual provider · Type 1 NPI

Mazyar Moshiri, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1093810202 Active

Practice location

777 S. New Ballas Road, Suite 116E
St. Louis, MO 63141

Call (314) 997-3999 Map

Fax (314) 997-7554

Mailing address

777 S New Ballas Rd, Suite 116E
St. Louis, MO 63141-8705

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2008019628 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1093810202

Mazyar Moshiri, DMD's National Provider Identifier is 1093810202, issued on Sep 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Louis, MO. The record was last updated on Dec 10, 2010.