Individual provider · Type 1 NPI

Nima Ghorbani Moghaddam

General Practice Dentistry · Lexington, SC

NPI number 1104741149 Active

Practice location

203 N Lake Dr
Lexington, SC 29072-2833

Call (803) 520-3110 Map

Mailing address

5800 Highlands Plaza Dr Apt 521
St. Louis, MO 63110-1364

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X11559 (SC)
General Practice Dentistry Primary 1223G0001X11559 (SC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

Other general practice dentistry providers in Lexington

See all in Lexington →

About NPI 1104741149

Nima Ghorbani Moghaddam's National Provider Identifier is 1104741149, issued on Aug 11, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lexington, SC. The record was last updated on Sep 1, 2026.