Adel Shayegan DMD PC
Organization Active NPI General Practice Dentistry · Phoenix, AZ
NPI 1801008248 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801008248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4772 (AZ)
- Legal business name
- ADEL SHAYEGAN DMD PC
- Practice address
- 4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359 - Phone
- (602) 955-1780
- Fax
- (602) 955-1153
- NPI assigned
- May 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Adel Shayegan, DMD
- Title
- President
- Phone
- (602) 955-1780
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4772 | AZ | Yes |
Addresses
Primary practice location
4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359
Mailing address
4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359
Phone (602) 955-1780
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.