DR. TIMOTHY SAMUEL SHAHBAZIAN DDS NPI 1811037252

NPI Information

NPI: 1811037252
Provider Name: DR. TIMOTHY SAMUEL SHAHBAZIAN, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2111 PARKSIDE DR
SUITE B
FREMONT, CA
ZIP 94536
Phone: (510) 797-9100
Get Directions

DR. Timothy Samuel Shahbazian, DDS is an oral and maxillofacial surgery dentist in Fremont, CA. 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. DR. Timothy Samuel Shahbazian, DDS NPI is 1811037252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2111 PARKSIDE DR
SUITE B
FREMONT, CA
ZIP 94536-325
Phone: (510) 797-9100
Fax: (510) 797-3429

The enumeration date for this NPI number is 2/7/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	28087	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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