Individual provider · Type 1 NPI
Mehran Hossainizadeh, DMD
Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA
Practice location
3223 N. Broad Street
Philadelphia, PA 19140
Fax (215) 707-5885
Mailing address
PO Box 824635
Philadelphia, PA 19182-4635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 53369 (CA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DA030545R (PA) |
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.
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About NPI 1699732602
Mehran Hossainizadeh, DMD's National Provider Identifier is 1699732602, issued on Apr 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 15, 2021.