Individual provider · Type 1 NPI

Farooq Nasserziayee, DMD

General Practice Dentistry · Portland, OR

NPI number 1366451676 Active

Practice location

10102 NE Glisan St
Portland, OR 97220-4456

Fax (503) 408-1472

Mailing address

1726 NE 55th Ave
Portland, OR 97213-3503

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7898 (OR)

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.

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About NPI 1366451676

Farooq Nasserziayee, DMD's National Provider Identifier is 1366451676, issued on Aug 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.