Ghafghazi DDS,P.S.

Pediatric Dentistry · Renton, WA

Organization Active NPI

NPI number 1912271776

Practice location

1002 Park Ave N Ste H
Renton, WA 98057-5632
Phone
(617) 605-5655

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NPI record

NPI
1912271776
Entity type
Organization (Type 2)
Enumeration date
February 26, 2012
Last updated
February 26, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X DE 00010518 WA

Mailing address

720 N 10TH St # a-364
Renton, WA 98057-5525

Authorized official

Name
Shahram Ghafghazi, DDS
Title
President
Phone
(617) 605-5655

About Ghafghazi DDS,P.S.

Ghafghazi DDS,P.S. is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1002 Park Ave N Ste H, Renton, WA 98057-5632. The NPI number 1912271776 was assigned on February 26, 2012 and the record was last updated on February 26, 2012.

Ghafghazi DDS,P.S. lists a license in the registry: #DE 00010518 (WA) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Shahram Ghafghazi, DDS, President.

Frequently asked questions

What is the NPI number of Ghafghazi DDS,P.S.?

The NPI number is 1912271776.

What is the phone number of Ghafghazi DDS,P.S.?

The phone number listed for the practice location is (617) 605-5655.

Where is Ghafghazi DDS,P.S. located?

1002 Park Ave N Ste H, Renton, WA 98057-5632.

What is the taxonomy code for Ghafghazi DDS,P.S.?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

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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