Individual provider · Type 1 NPI
Sean Moghadam
Oral and Maxillofacial Surgery (Dentist) · Fullerton, CA
NPI number
1174074199
Active
Practice location
1620 S Harbor Blvd
Fullerton, CA 92832-3473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 107536 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Fullerton
About NPI 1174074199
Sean Moghadam's National Provider Identifier is 1174074199, issued on Oct 14, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fullerton, CA. The record was last updated on Aug 25, 2025.