A REZA MIREMADI MD DDS LLC NPI 1053597930

NPI Information

A REZA MIREMADI MD DDS LLC is an oral and maxillofacial surgery dentist in Springboro, OH. The provider is an oral and maxillofacial surgery dentist specialized in 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. A REZA MIREMADI MD DDS LLC NPI is 1053597930. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

576 N MAIN ST
SPRINGBORO, OH
ZIP 45066-552
Phone: (937) 748-8814
Fax: (937) 748-8817

The provider's authorized official is Cindy Laymaster .
The authorized official title is Financial Manager and has the following contact phone number (937) 748-8814.

The CLIA number assigned to this NPI record is 36D2000155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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