Darioush Afshar
Individual provider Active NPI General Practice Dentistry · Salem, OR
NPI 1306226782 · NPPES record last updated Jun 1, 2015
Key facts
- NPI
- 1306226782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D10236 (OR)
- Practice address
- 4392 Liberty Rd S
Salem, OR 97302-6171 - Phone
- (971) 373-4583
- NPI assigned
- Jun 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10236 | OR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10236 | OR | Yes |
Addresses
Primary practice location
4392 Liberty Rd S
Salem, OR 97302-6171
Mailing address
1556 Kamela Dr S
Salem, OR 97306-2249
Other providers in Salem, OR
- Aeg Oregon Professional LLC
- Aegis Group Practice LLC
- Kathleen Aeschliman
- Charles Richard Affatato
- Amanda Afshar
- Vimal Mohun Aga
- Chinar Agarwal
- Alison Renee Agnetta
- Anthony Michael Agostini
- Jason Aguayo
All providers in Salem, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.