Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONA TAHERIZADEGAN, DDS
Active Sole ProprietorDR. DONA TAHERIZADEGAN, DDS is a Pediatric Dentistry healthcare provider located in FORT POLK, Louisiana. NPI 1043505365 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT POLK, LA
Registration Details
- NPI Number
- 1043505365
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2011 (15.206953522049 yrs)
- Last Updated
- Aug 3, 2020
- Licenses
-
31781 (TX)31781 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5622 BAZYDLO CTFORT POLK, LA, 714593419Browse LA providers · Browse ZIP 71459
- Phone
- 8058571215
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
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.