Said Mokhtarzadeh, D.D.S.

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1023150448 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023150448
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN 5152 (DC)
Practice address
3301 New Mexico Ave NW
Ste 326
Washington, DC 20016-3622
Phone
(202) 966-0979
Fax
(202) 966-0855
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DEN 5152DCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN 5152 DC Yes

Addresses

Primary practice location

3301 New Mexico Ave NW
Ste 326
Washington, DC 20016-3622

Mailing address

3301 New Mexico Ave NW
Ste 326
Washington, DC 20016-3622
Phone (202) 966-0979

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.