Shahab Ardalan, D.D.S.

Dentist · Glendale, AZ

Individual Active NPI

NPI number 1063493641

Practice location

6040 N 43rd Ave
Suite #4
Glendale, AZ 85301-5488
Phone
(623) 218-2222
Fax
(623) 218-2221

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NPI record

NPI
1063493641
Entity type
Individual (Type 1)
Enumeration date
November 9, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D5562 AZ

About Dr. Ardalan

Shahab Ardalan, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6040 N 43rd Ave, Suite #4, Glendale, AZ 85301-5488. The NPI number 1063493641 was assigned on November 9, 2005 and the record was last updated on July 8, 2007.

Dr. Ardalan lists a license in the registry: #D5562 (AZ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shahab Ardalan, D.D.S.?

The NPI number is 1063493641.

What is the phone number of Dr. Ardalan?

The phone number listed for the practice location is (623) 218-2222.

Where is Dr. Ardalan located?

6040 N 43rd Ave, Suite #4, Glendale, AZ 85301-5488.

What is the taxonomy code for Dr. Ardalan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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