Individual provider · Type 1 NPI
Shahrdad Kazerani, D.M.D, M.S.
Periodontics · Lincoln Park, MI
NPI number
1306206966
Active
Practice location
3830 Fort St
Lincoln Park, MI 48146-4107
Mailing address
1909 Fern St
Royal Oak, MI 48073-4185
Other practice locations
- 2759 Elizabeth Lake Rd, Waterford, MI 48328-3291 · (486) 814-4702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Periodontics Primary | 1223P0300X | 2901600288 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5 other providers at this address
- A1 Family Dentistry of Licoln Park,plcGeneral Practice Dentistry Lincoln Park, MI NPI 1366826182
- Jonathan Blake Gerstein, DDSGeneral Practice Dentistry Lincoln Park, MI NPI 1427341643
- Lawrence Mark Gerstein, DDSGeneral Practice Dentistry Lincoln Park, MI NPI 1780775593
- Oras Pola, DMDDentist Lincoln Park, MI NPI 1235500869
- Sarah Alnaimi, DDSDentist Lincoln Park, MI NPI 1780251504
About NPI 1306206966
Shahrdad Kazerani, D.M.D, M.S.'s National Provider Identifier is 1306206966, issued on Feb 25, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lincoln Park, MI. The record was last updated on Dec 6, 2019.