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SHAHRESTANI SPARKS MARINA DENTISTRY PC NPI 1760861447


NPI Information

NPI: 1760861447
Provider Name: SHAHRESTANI SPARKS MARINA DENTISTRY, PC

Doing Business As: SPARKS MARINA DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
475 SPARKS BLVD
SUITE 101
SPARKS, NV
ZIP 89434
Phone: (775) 359-1565
Get Directions

SHAHRESTANI SPARKS MARINA DENTISTRY, PC is a general practice dentist in Sparks, NV. The provider is 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. SHAHRESTANI SPARKS MARINA DENTISTRY, PC NPI is 1760861447. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sparks Marina Dentistry.

The provider's business location address is:

475 SPARKS BLVD
SUITE 101
SPARKS, NV
ZIP 89434-002
Phone: (775) 359-1565
Fax: (775) 359-1597

The provider's authorized official is Ali Shahrestani .
The authorized official title is Credentialing Administrator and has the following contact phone number (714) 845-8704.

The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.