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DR. MASSOUD EFTEKHARI NPI 1528567575


NPI Information

NPI: 1528567575
Provider Name: DR. MASSOUD EFTEKHARI

Doing Business As: VIP FAMILY AND SEDATION DENTISTRY, PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
830 S MAIN ST STE 1D
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-5566
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DR. MASSOUD EFTEKHARI is a general practice dentist in Cottonwood, AZ. 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. MASSOUD EFTEKHARI NPI is 1528567575. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vip Family And Sedation Dentistry, Pllc.

The provider's business location address is:

830 S MAIN ST STE 1D
COTTONWOOD, AZ
ZIP 86326-621
Phone: (928) 634-5566
Fax: (928) 634-5566

The provider's authorized official is Massoud Eftekhari .
The authorized official title is Dentist/owner and has the following contact phone number (602) 430-8462.

The enumeration date for this NPI number is 2/5/2018 and was last updated on 2/5/2018.


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 Practice4954ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11659524692OTHERARIZONANPI INDIVIDUAL
24954OTHERARIZONADENTAL LICENSE
3496932MEDICAIDARIZONA

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: 11/14/2023

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