Individual provider · Type 1 NPI

Hooman Momtazi, DDS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1245127257 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0002

Call (860) 679-2000 Map

Mailing address

315 Trumbull St Apt 1911
Hartford, CT 06103-1148

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X82627 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245127257

Hooman Momtazi, DDS's National Provider Identifier is 1245127257, issued on Jun 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 30, 2025.