Individual provider · Type 1 NPI

Mohammad Reza Movahedi

General Practice Dentistry · Puyallup, WA

NPI number 1811736663 Active

Practice location

903 40th Ave SW Ste 200
Puyallup, WA 98373-6506

Mailing address

1001 Shadow Ln
Las Vegas, NV 89106-4124

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X61566970 (WA)

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 1811736663

Mohammad Reza Movahedi's National Provider Identifier is 1811736663, issued on May 22, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Puyallup, WA. The record was last updated on Jul 27, 2026.