Rouhollah Fallah DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN9938 Issued in FL

Legal business name

ROUHOLLAH FALLAH DDS PA

Practice address

7100 West Commercial Blvd
Suite 108
Lauderhill, FL 33319

Phone

(954) 741-6556

Fax

(954) 741-1715

NPI assigned

Aug 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rouhollah Fallah, DDS

Title

Dentist

Phone

(954) 741-6556

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1174638449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WEST COMMERCIAL BLVD",
            "address_2": "SUITE 108",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-741-6556",
            "fax_number": "954-741-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WEST COMMERCIAL BLVD",
            "address_2": "SUITE 108",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-741-6556",
            "fax_number": "954-741-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUHOLLAH FALLAH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "FALLAH",
        "authorized_official_first_name": "ROUHOLLAH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-741-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.