Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BIJAN MODJTAHEDI, DDS
DeactivatedDR. BIJAN MODJTAHEDI, DDS is a Dentist healthcare provider located in FOUNTAIN VALLEY, California. NPI 1043205420 is deactivated in the NPPES registry. Verify at CMS.
Dentist · FOUNTAIN VALLEY, CA
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1043205420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (0.52328767123288 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 23, 2006
- License
-
35523 (CA)
Practice Information
- Address
-
18109 MAGNOLIA STFOUNTAIN VALLEY, CA, 927085647Browse CA providers · Browse ZIP 92708
- Phone
- 7149622432
- Fax
- 7149623752
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FOUNTAIN VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| FRANK LE | D.D.S | 1427041235 |
| DR. GARRY D. JONES | DDS | 1780661363 |
| DR. VEDA FAITH AFSAHI | DDS | 1992745772 |
| DR. DAVID COHEN | DDS | 1003859489 |
| MR. WADID ANTOINE FATTOUCH | DDS | 1962419051 |
| DR. JOSEPH LAWRENCE O'CONNOR | DDS | 1326147000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.