DR. AMIR HASSAN POURADIB D.D.S. NPI 1295851905

NPI Information

NPI: 1295851905
Provider Name: DR. AMIR HASSAN POURADIB, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2801 YULUPA AVE STE A
SANTA ROSA, CA
ZIP 95405
Phone: (707) 544-8338
Get Directions

DR. Amir Hassan Pouradib, D.D.S. is a general practice dentist in Santa Rosa, CA. 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. DR. Amir Hassan Pouradib, D.D.S. NPI is 1295851905. 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:

2801 YULUPA AVE STE A
SANTA ROSA, CA
ZIP 95405-115
Phone: (707) 544-8338
Fax: (707) 544-8338

The enumeration date for this NPI number is 3/22/2007 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	1223G0001X	Dentist	General Practice	43389	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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