ARDAVAN FATEH NPI 1053630780

NPI Information

NPI: 1053630780
Provider Name: ARDAVAN FATEH
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
2355 OCEAN AVE
SAN FRANCISCO, CA
ZIP 94127
Phone: (415) 333-1173
Get Directions

Ardavan Fateh is a periodontics dentist in San Francisco, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Ardavan Fateh NPI is 1053630780. 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:

2355 OCEAN AVE
SAN FRANCISCO, CA
ZIP 94127-600
Phone: (415) 333-1173

The enumeration date for this NPI number is 5/20/2010 and was last updated on 9/16/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DL10896	MASSACHUSETTS	No
2	1223P0300X	Dentist	Periodontics	00201945	COLORADO	No
3	1223P0300X	Dentist	Periodontics	60303	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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