Jackson Reza Moezi, D.D.S.

Dentist · Vacaville, CA

Individual Active NPI

NPI number 1073636445

Practice location

3000 Alamo Dr
Suite 107
Vacaville, CA 95687-6350
Phone
(707) 446-7701
Fax
(707) 446-1628

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NPI record

NPI
1073636445
Entity type
Individual (Type 1)
Enumeration date
April 9, 2007
Last updated
August 3, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 37707 CA

Mailing address

1350 Burton Dr
Ste 230
Vacaville, CA 95687-3542
Phone
(707) 446-7701
Fax
(707) 446-1628

About Dr. Moezi

Jackson Reza Moezi, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3000 Alamo Dr, Suite 107, Vacaville, CA 95687-6350. The NPI number 1073636445 was assigned on April 9, 2007 and the record was last updated on August 3, 2016.

Dr. Moezi lists a license in the registry: #37707 (CA) 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 Jackson Reza Moezi, D.D.S.?

The NPI number is 1073636445.

What is the phone number of Dr. Moezi?

The phone number listed for the practice location is (707) 446-7701.

Where is Dr. Moezi located?

3000 Alamo Dr, Suite 107, Vacaville, CA 95687-6350.

What is the taxonomy code for Dr. Moezi?

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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