DR. REZA MOVAHED DMD NPI 1790923365

NPI Information

NPI: 1790923365
Provider Name: DR. REZA MOVAHED, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1585 WOODLAKE DR STE 208
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 878-6725
Get Directions

DR. Reza Movahed, DMD is an oral and maxillofacial surgery dentist in Chesterfield, MO. 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. Reza Movahed, DMD NPI is 1790923365. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1585 WOODLAKE DR STE 208
CHESTERFIELD, MO
ZIP 63017-740
Phone: (314) 878-6725
Fax: (314) 878-6726

The enumeration date for this NPI number is 2/4/2009 and was last updated on 6/5/2023.

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	021002639	ILLINOIS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2013024987	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2013024987	OTHER	MISSOURI	LICENSE NUMBER

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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