Cyrus R Aghdam, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Escondido, CA
NPI 1992221493 · NPPES record last updated Sep 15, 2022
Key facts
- NPI
- 1992221493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 107477 (CA)
- Practice address
- 203 E 3Rd Ave
Escondido, CA 92025-4203 - Phone
- (760) 743-2295
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107477 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| S3-359 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 060423-01 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anwar Aghdam DDS Inc | Orthodontics and Dentofacial Orthopedics | Current |
Accepting new patients |
Locations
203 E 3rd Ave
Escondido, CA 92025
Phone (760) 743-2295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 060423-01 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3-359 | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 107477 | CA | Yes |
Addresses
Primary practice location
203 E 3Rd Ave
Escondido, CA 92025-4203
Mailing address
203 E 3Rd Ave
Escondido, CA 92025-4203
Phone (760) 743-2295
Other providers in Escondido, CA
- Afsaneh Amini, O.D., a Professional Optometric Corporation
- Kiabod Afshar
- Bianca Ann Afuola
- Iveta Agadzhanova
- Daniel Solomon Ageze
- Marika Aglipay
- Tae'a Lashea Agnew
- Jofhel Opiana Agorrilla
- Katie Tran Aguiar
- Marisa Ester Aguilar Garcia
All providers in Escondido, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2022. 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.