Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BIJAN REZA AHMADZADEH, D.M.D.
ActiveDentist · LAKE ARIEL, PA
Registration Details
- NPI Number
- 1063726255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2010 (15.74010611909 yrs)
- Last Updated
- Aug 18, 2020
- License
-
DS038398 (PA)
Practice Information
- Address
-
358 HAMLIN HWYSUITE 2LAKE ARIEL, PA, 184360000Browse PA providers · Browse ZIP 18436
- Phone
- 5706892449
- Fax
- 8666581522
- Primary Specialty
-
Dentist
122300000X
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.